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Gavin Kume-Fung Ho

Internal Medicine

Allopathic & Osteopathic Physicians

1245 16th St Ste 309, Santa Monica, CA 90404-1239

PECOS Enrollment

This provider is enrolled in PECOS as GAVIN HO.

Based on the most recent information from CMS, provider Gavin Kume-Fung Ho is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1760942841
Provider Type
Individual
Full Name
Ho, Gavin Kume-Fung
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/23/2019
Last Updated
2/2/2025

Contact Information

Practice Location

1245 16th St Ste 309, Santa Monica, CA 90404-1239

(310) 319-4377

(310) 319-4425

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

(310) 301-8707

(310) 301-8751

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A180278 California

Gavin Kume-Fung Ho

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Kapur, Nitin

Yi, Pauline

Lee, Julia

Patel, Shreeti

Ji, Jingran

Drakaki, Alexandra

Solorzano, Walter Mauricio

Suraweera, Ashley

Boctor, Noelle