Provider Demographics
NPI:1699985978
Name:HO, TIFFANY THUAN-HAU (DC)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:THUAN-HAU
Last Name:HO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2684 CROPLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-3711
Mailing Address - Country:US
Mailing Address - Phone:408-262-5130
Mailing Address - Fax:408-262-5140
Practice Address - Street 1:2684 CROPLEY AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-3711
Practice Address - Country:US
Practice Address - Phone:408-262-5130
Practice Address - Fax:408-262-5140
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27241111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0272410OtherMEDI-CAL PROVIDER NUMBER
CADC0272410Medicare UPIN
CADC0272410Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER