Healthcare Provider Details

I. General information

NPI: 1700230760
Provider Name (Legal Business Name): CHRISTINA HOANG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7340 E SPEEDWAY BLVD STE 104
TUCSON AZ
85710-1361
US

IV. Provider business mailing address

PO BOX 31235
TUCSON AZ
85751-1235
US

V. Phone/Fax

Practice location:
  • Phone: 520-547-7045
  • Fax: 520-547-7060
Mailing address:
  • Phone: 520-324-2308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR2643
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number007932
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: