Provider Demographics
NPI:1992948806
Name:KHO, JENNIEFER YUMEE (MD)
Entity type:Individual
Prefix:
First Name:JENNIEFER
Middle Name:YUMEE
Last Name:KHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:Y
Other - Last Name:KHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:14624 SHERMAN WAY STE 303
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-2288
Mailing Address - Country:US
Mailing Address - Phone:818-902-2800
Mailing Address - Fax:
Practice Address - Street 1:14624 SHERMAN WAY STE 303
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2288
Practice Address - Country:US
Practice Address - Phone:818-902-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA133827207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery