Basic Information
| Provider Information | |||||||||
| NPI: | 1891139010 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HO | ||||||||
| FirstName: | BARAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3301 C STREET | ||||||||
| Address2: | UC DAVIS DEPARTMENT OF DERMATOLOGY SUITE 1300 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167346111 | ||||||||
| FaxNumber: | 9164517245 | ||||||||
| Practice Location | |||||||||
| Address1: | 3301 C STREET | ||||||||
| Address2: | UC DAVIS DEPARTMENT OF DERMATOLOGY SUITE 1300 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167346111 | ||||||||
| FaxNumber: | 9164517245 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2013 | ||||||||
| LastUpdateDate: | 02/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | A132580 | CA | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.