Provider Demographics
NPI:1154156339
Name:MHO MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:MHO MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:MASARU
Authorized Official - Middle Name:H
Authorized Official - Last Name:OSHITA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-276-0238
Mailing Address - Street 1:12417 FAIR OAKS BLVD STE 550
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-2581
Mailing Address - Country:US
Mailing Address - Phone:916-276-0238
Mailing Address - Fax:916-536-6416
Practice Address - Street 1:12417 FAIR OAKS BLVD STE 550
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-2581
Practice Address - Country:US
Practice Address - Phone:916-276-0238
Practice Address - Fax:916-536-6416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty