Doctor Name: | KHANG QUANG HOANG |
NPI Number: | 1538383104 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 20A9733 |
Business Practice Address: | 6301 Beach Blvd Ste 101 Buena Park, CA - 906214030 |
Business Phone Number: | 7149945290 |
Business Fax Number: | |
Mailing Address: | 6301 Beach Blvd Ste 101, BUENA PARK |
State: | CA |
Postal Code: | 906214030 |
Phone Number: | 7149945290 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 11/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A9733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |