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NPI Code Detail

MEDICARE: VANESSA HOANG

MEDICARE:   VANESSA  HOANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA66734CA

General Provider Information

NPI Number : 1912867110
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA HOANG
Provider Business Mailing Address
First Line : 15766 CAMINO CRISALIDA
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-5834
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3737 MORAGA AVE STE B103
Second Line :
City : SAN DIEGO
State : CA
Zip : 92117-5352
Country : US
Telephone Number : 858-799-0855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2025
Last Update Date : 12/19/2025

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Directions to “ VANESSA HOANG ” Practice Location

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