Doctor Name: | DR. PETER KHO |
NPI Number: | 1043281066 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A 36350 |
Business Practice Address: | 644 Naples St Chula Vista, CA - 919111636 |
Business Phone Number: | 6195855555 |
Business Fax Number: | 6192797910 |
Mailing Address: | 1525 La Chica Dr, CHULA VISTA |
State: | CA |
Postal Code: | 919116953 |
Phone Number: | 6195855555 |
Fax Number: | 6194277910 |
NPI Enumeration Date: | 01/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | A 36350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |