Organization Active NPI

Marion Kim Wan Ho MD a Professional Corporation

  • Internal Medicine Physician
  • Woodland Hills, CA
National Provider Identifier
1689818866
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G75129 Issued in CA
Legal business name
MARION KIM WAN HO MD A PROFESSIONAL CORPORATION
Practice address
6325 Topanga Canyon Blvd
Suite 315
Woodland Hills, CA 91367-2033
Phone
(818) 615-2888
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marion Ho, MDNPI 1003929225
Title
Owner
Phone
(818) 615-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G75129 CA Primary

Addresses

Primary practice location

6325 Topanga Canyon Blvd
Suite 315
Woodland Hills, CA 91367-2033

Mailing address

6325 Topanga Canyon Blvd
Suite 315
Woodland Hills, CA 91367-2033
Phone (818) 615-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090611000443 CA Part B Supplier - Clinic/Group Practice 2062562184 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1094760Marion Ho, MD6325 Topanga Cyn Blvd #315, Woodland Hills, CA 91367Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1689818866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "SUITE 315",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672033",
            "telephone_number": "818-615-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "SUITE 315",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672033",
            "telephone_number": "818-615-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION KIM WAN HO MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-615-2888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.