Provider Demographics
NPI:1306065313
Name:HO, DIEP NGOC (LAC)
Entity type:Individual
Prefix:
First Name:DIEP
Middle Name:NGOC
Last Name:HO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2300 W VICTORY BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1256
Mailing Address - Country:US
Mailing Address - Phone:818-846-3131
Mailing Address - Fax:818-846-0279
Practice Address - Street 1:2300 W VICTORY BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1256
Practice Address - Country:US
Practice Address - Phone:818-846-3131
Practice Address - Fax:818-846-0279
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC4732171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist