Provider Demographics
NPI:1447302187
Name:KHO, LINDA H (OD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:H
Last Name:KHO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:HESTER
Other - Last Name:KHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:745 HIGHLAND PARK
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-4492
Mailing Address - Country:US
Mailing Address - Phone:917-279-4600
Mailing Address - Fax:
Practice Address - Street 1:1822 MARRON RD
Practice Address - Street 2:NORTH COUNTY PLAZA #100
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1172
Practice Address - Country:US
Practice Address - Phone:760-434-7620
Practice Address - Fax:760-434-3069
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11270T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist