Brandon Ho, DDS
Individual provider Active NPI General Practice Dentistry · La Canada, CA
NPI 1659623346 · NPPES record last updated Oct 5, 2012
Key facts
- NPI
- 1659623346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 53602 (CA)
- Practice address
- 400 Foothill Blvd
La Canada, CA 91011-3567 - Phone
- (818) 790-3923
- NPI assigned
- Oct 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53602 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 53602 | CA | Yes |
Addresses
Primary practice location
400 Foothill Blvd
La Canada, CA 91011-3567
Mailing address
400 Foothill Blvd
La Canada, CA 91011-3567
Other providers in La Canada, CA
- Clifford Thomas Hartman Jr.
- Hillary Lynne Haynes
- Healthylife MG Corp
- Sokunthear Hem
- Christopher John Henry
- Kenneth Chiang Ho
- John Arthur Honch
- Gina Lynn Horton
- Bonnie Brady Hoskins
- Richard Albert Hoskins
All providers in La Canada, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2012. 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.