| Doctor Name: | MR. HENRY HOANG |
| NPI Number: | 1063741205 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP-AC |
| License Number: | R188868 |
| Business Practice Address: | 8700 Beverly Blvd Cts-ahsp Building (127 S. San Vicente Blvd A3100) West Hollywood, CA - 900481804 |
| Business Phone Number: | 3104233851 |
| Business Fax Number: | |
| Mailing Address: | 8700 Beverly Blvd, Cts-ahsp Building (127 S San Vicente Blvd A3100) WEST HOLLYWOOD |
| State: | CA |
| Postal Code: | 900481804 |
| Phone Number: | 3104233851 |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2009 |
| NPI Last Update Date: | 02/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | R188868 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |