1285834200 NPI number — ANDREW HO, M.D., INC.

Table of content: ALISON A KREGER DPT (NPI 1982902755)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285834200 NPI number — ANDREW HO, M.D., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANDREW HO, M.D., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285834200
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4000 14TH ST
Provider Second Line Business Mailing Address:
SUITE 412
Provider Business Mailing Address City Name:
RIVERSIDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92501-4083
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-906-6026
Provider Business Mailing Address Fax Number:
951-683-7698

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4000 14TH ST
Provider Second Line Business Practice Location Address:
SUITE 412
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92501-4083
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-906-6026
Provider Business Practice Location Address Fax Number:
951-683-7698
Provider Enumeration Date:
07/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HO
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
TUAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
714-906-6026

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  A73617 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: A73617 . This is a "LICENSE NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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