Provider Demographics
NPI:1538212295
Name:RHO, HYONSIN KATHY (OD)
Entity type:Individual
Prefix:
First Name:HYONSIN
Middle Name:KATHY
Last Name:RHO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:HYONSIN
Other - Middle Name:KATHY
Other - Last Name:PARK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1797 CALIFORNIA ST
Mailing Address - Street 2:#19
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1759
Mailing Address - Country:US
Mailing Address - Phone:408-315-2937
Mailing Address - Fax:
Practice Address - Street 1:925 BLOSSOM HILL RD
Practice Address - Street 2:OAKRIDGE MALL #1451
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1230
Practice Address - Country:US
Practice Address - Phone:408-284-0140
Practice Address - Fax:408-448-2130
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11583152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist