| James C Ho M.d. Medical Corporation | |
|
1330 San Bernardino Rd Ste G Upland CA 91786-4980 | |
| (714) 290-7089 | |
| (909) 972-0055 |
| Full Name | James C Ho M.d. Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1330 San Bernardino Rd Ste G, Upland, California |
| Authorized Official Name and Position | James C Ho (PRESIDENT) |
| Authorized Official Contact | 7142907089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James C Ho M.d. Medical Corporation 500 N Belridge Ter Brea CA 92821-7401 Ph: (714) 290-7089 | James C Ho M.d. Medical Corporation 1330 San Bernardino Rd Ste G Upland CA 91786-4980 Ph: (714) 290-7089 |
| NPI Number | 1598389363 |
|---|---|
| Provider Enumeration Date | 06/07/2020 |
| Last Update Date | 10/14/2020 |
| Medicare PECOS PAC ID | 0143644591 |
|---|---|
| Medicare Enrollment ID | O20200910001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598389363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | James C Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669440988 PECOS PAC ID: 2769541077 Enrollment ID: I20081031000248 |
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