Jaime S. Lee Ho MD INC.
General Practice in Lake Isabella, CA. Organization (NPI-2).
NPI number1629081997
StatusActive
Last updated in NPPESSep 3, 2008
Details
- NPI
- 1629081997
- Entity type
- Organization (NPI-2)
- Legal business name
- Jaime S. Lee Ho MD INC.
- Organization subpart
- No
- Enumeration date
- Aug 15, 2006
- Last updated
- Sep 3, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | A24547 | CA | Yes |
| 207R00000X | Internal Medicine | G43717 | CA |
Other names
- Mt Mesa Medical Group (Doing Business As)
Practice location
4308 Birch StreetLake Isabella, CA 93240
Phone 760-379-2426 · Fax 760-379-2664
Mailing address
Po Box 18984308 Birch Street
Lake Isabella, CA 93240-1898
Phone 760-379-2426 · Fax 760-379-2664
Authorized official
Jaime S. Lee Ho
President/Physician
7603792426
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