Healthcare Provider Details

I. General information

NPI: 1972420859
Provider Name (Legal Business Name): HOANG MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27462 PORTOLA PKWY STE 100
FOOTHILL RANCH CA
92610-2838
US

IV. Provider business mailing address

27462 PORTOLA PKWY STE 100
FOOTHILL RANCH CA
92610-2838
US

V. Phone/Fax

Practice location:
  • Phone: 949-624-7171
  • Fax: 818-381-0850
Mailing address:
  • Phone: 949-624-7171
  • Fax: 818-381-0850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THAO Y HOANG
Title or Position: CEO
Credential: DO
Phone: 310-594-6704