Individual provider Active NPI

Edmund See-Ming Ho, M.D.

  • Internal Medicine Physician
  • West Los Angeles, CA
National Provider Identifier
1811209810
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A104190 Issued in CA
Practice address
11870 Santa Monica Blvd # 106-406
West Los Angeles, CA 90025-2276
Phone
(312) 498-5591
NPI assigned
Jul 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A104190 CA Primary

Addresses

Primary practice location

11870 Santa Monica Blvd # 106-406
West Los Angeles, CA 90025-2276

Mailing address

11870 Santa Monica Blvd # 106-406
West Los Angeles, CA 90025-2276
Phone (312) 498-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121212000581 CA Practitioner - Internal Medicine 0840442109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1811209810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD # 106-406",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900252276",
            "telephone_number": "312-498-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD # 106-406",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900252276",
            "telephone_number": "312-498-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "EDMUND",
        "middle_name": "SEE-MING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A104190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.