Healthcare Provider Details

I. General information

NPI: 1578711123
Provider Name (Legal Business Name): ANH HOANG M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 09/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 BON AIR RD
GREENBRAE CA
94904-1702
US

IV. Provider business mailing address

2790 FOLSOM ST APT 4
SAN FRANCISCO CA
94110-3363
US

V. Phone/Fax

Practice location:
  • Phone: 415-473-2523
  • Fax:
Mailing address:
  • Phone: 415-606-2566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: