Individual
TIEN DANG HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
3648 HEATHCOT CT, SAN JOSE, CA 95121-1442
(669) 350-3331
(669) 201-0296
Mailing address
3648 HEATHCOT CT, SAN JOSE, CA 95121-1442
(669) 350-3331
(669) 201-0296
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF00109759
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-1986948
—
CA
Enumeration date
09/13/2021
Last updated
09/14/2021
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