Jaime S. Lee Ho MD Inc.
Organization Active NPI General Practice Physician · Lake Isabella, CA
NPI 1629081997 · NPPES record last updated Sep 3, 2008
Key facts
- NPI
- 1629081997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- A24547 (CA)
- Legal business name
- JAIME S. LEE HO MD INC.
- Practice address
- 4308 Birch Street
Lake Isabella, CA 93240 - Phone
- (760) 379-2426
- Fax
- (760) 379-2664
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Jaime S. Lee Ho, M.D.
- Title
- President/Physician
- Phone
- (760) 379-2426
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | G43717 | CA | |
| General Practice Physician |
208D00000X | A24547 | CA | Yes |
Addresses
Primary practice location
4308 Birch Street
Lake Isabella, CA 93240
Mailing address
PO Box 1898
4308 Birch Street
Lake Isabella, CA 93240-1898
Phone (760) 379-2426
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0022310 | Medicaid | CA |
Other names
- Mt Mesa Medical Group
Other providers in Lake Isabella, CA
- Terry Holbrook
- Andrea Kate Hood
- Ikenna Chinaka Ikeri
- Isabella Emergency Physicians
- Kristy Dawn Jackson
- Cindy B Jewett
- Robert Gary Johannsen
- Patricia Ann Jones
- Joseph M Kent DDS Inc.
- James E Kent
All providers in Lake Isabella, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.