Provider Demographics
NPI:1629375431
Name:HO, LOUIS CHAO-I (DO)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:CHAO-I
Last Name:HO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 E LIME AVE
Mailing Address - Street 2:#201
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016
Mailing Address - Country:US
Mailing Address - Phone:626-445-1000
Mailing Address - Fax:626-513-8750
Practice Address - Street 1:513 E LIME AVE
Practice Address - Street 2:#201
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016
Practice Address - Country:US
Practice Address - Phone:626-445-1000
Practice Address - Fax:626-513-8750
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11585207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CB228847OtherPTAN