Healthcare Provider Details

I. General information

NPI: 1720275613
Provider Name (Legal Business Name): PAUL CHI HOANG MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17150 NEWHOPE ST STE 507
FOUNTAIN VALLEY CA
92708-4253
US

IV. Provider business mailing address

17150 NEWHOPE ST STE 507
FOUNTAIN VALLEY CA
92708-4253
US

V. Phone/Fax

Practice location:
  • Phone: 949-431-6374
  • Fax:
Mailing address:
  • Phone: 949-431-6374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28713
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: