Healthcare Provider Details

I. General information

NPI: 1992334890
Provider Name (Legal Business Name): HONG HOANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 04/03/2020
Certification Date: 04/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 ESPLANADE
CHICO CA
95973-1115
US

IV. Provider business mailing address

6379 COUNTY ROAD 16 SPC 84
ORLAND CA
95963-9470
US

V. Phone/Fax

Practice location:
  • Phone: 408-332-9334
  • Fax:
Mailing address:
  • Phone: 408-332-9334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number82165
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: