Healthcare Provider Details

I. General information

NPI: 1891430559
Provider Name (Legal Business Name): MARGARET V HOANG MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2022
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39141 CIVIC CENTER DR STE 335
FREMONT CA
94538-5878
US

IV. Provider business mailing address

4607 SPOONER COVE CT
UNION CITY CA
94587-6002
US

V. Phone/Fax

Practice location:
  • Phone: 510-248-1414
  • Fax: 510-797-5850
Mailing address:
  • Phone: 510-566-3912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95020684
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: