Individual
JESSICA HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6041 CADILLAC AVE, DEPARTMENT OF RADIOLOGY, LOS ANGELES, CA 90034-1702
(323) 857-2425
Mailing address
6041 CADILLAC AVE, DEPARTMENT OF RADIOLOGY, LOS ANGELES, CA 90034-1702
(323) 857-2425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10034484
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
129967
CA
Other
Enumeration date
10/23/2009
Last updated
11/04/2021
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