Individual
DIANE MAI THANH HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 S BURNSIDE AVE APT 6H, LOS ANGELES, CA 90036-3962
(323) 931-5737
Mailing address
520 S BURNSIDE AVE APT 6H, LOS ANGELES, CA 90036-3962
(323) 931-5737
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A89573
CA
Other
Enumeration date
09/11/2007
Last updated
11/29/2021
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