Individual
HUONG MAI HO-TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15047 LOS GATOS BLVD, STE 200, LOS GATOS, CA 95032-2054
(408) 364-6799
(408) 378-4510
Mailing address
15047 LOS GATOS BLVD, STE 200, LOS GATOS, CA 95032-2054
(408) 364-6799
(408) 378-4510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT28261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT601Z
MEDICARE PTAN
—
01
—
PT28261
MED LICENSE #
CA
Enumeration date
03/13/2007
Last updated
01/11/2022
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