| Sandra A. Ho M.d., Professional Corporation | |
|
11965 Venice Blvd Ste 300 Los Angeles CA 90066-3979 | |
| (310) 562-0441 | |
| (310) 684-2021 |
| Full Name | Sandra A. Ho M.d., Professional Corporation |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 11965 Venice Blvd Ste 300, Los Angeles, California |
| Authorized Official Name and Position | Sandra Ann Ho (PRESIDENT) |
| Authorized Official Contact | 3108760248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra A. Ho M.d., Professional Corporation 9808 Venice Blvd Ste 600 Culver City CA 90232-6807 Ph: () - | Sandra A. Ho M.d., Professional Corporation 11965 Venice Blvd Ste 300 Los Angeles CA 90066-3979 Ph: (310) 562-0441 |
| NPI Number | 1790347441 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 12/16/2020 |
| Medicare PECOS PAC ID | 6406188200 |
|---|---|
| Medicare Enrollment ID | O20191029000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790347441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207K00000X | Allergy & Immunology | (* (Not Available)) | Primary |
| Provider Name | Sandra A Ho |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1659680411 PECOS PAC ID: 5698947372 Enrollment ID: I20111003000413 |
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