Provider Demographics
NPI:1861292328
Name:HO, MATTHEW MINH (CPO)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:MINH
Last Name:HO
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2900 N ROCKY POINT DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1460
Mailing Address - Country:US
Mailing Address - Phone:813-281-0300
Mailing Address - Fax:
Practice Address - Street 1:2425 STOCKTON BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2215
Practice Address - Country:US
Practice Address - Phone:916-453-2170
Practice Address - Fax:916-453-5024
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPO05274222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist