Ho, Tien Dang

Ho, Tien Dang is an sole proprietor health care provider with primary practice located at 3648 Heathcot Ct , San Jose CA 95121-1442. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Ho, Tien Dang can be contacted via phone (669) 350-3331.

Contact Information

Primary practice address
3648 Heathcot Ct San Jose CA 95121-1442
Phone: (669) 350-3331
Fax: (669) 201-0296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X RHF00109759 California

Profile Details

NPI number 1538838438
LBN Legal business name Ho, Tien Dang
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2021
Last updated Sep 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538838438 NPPES
California MEDICAID 87-1986948

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