Healthcare Provider Details

I. General information

NPI: 1760549109
Provider Name (Legal Business Name): SYLVIA HANH HOANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANH THI HOANG M.D.

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 04/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 MOWRY AVE SUITE 300
FREMONT CA
94538
US

IV. Provider business mailing address

2333 MOWRY AVE SUITE 300
FREMONT CA
94538
US

V. Phone/Fax

Practice location:
  • Phone: 510-796-0222
  • Fax: 510-796-7760
Mailing address:
  • Phone: 510-790-9991
  • Fax: 510-790-9993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA62015
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: