Healthcare Provider Details

I. General information

NPI: 1003977562
Provider Name (Legal Business Name): HOANG TUAN HUY LA, DDS., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W 7TH ST SUITE 108
HANFORD CA
93230-4581
US

IV. Provider business mailing address

4616 W CONCORD AVE
VISALIA CA
93277-5138
US

V. Phone/Fax

Practice location:
  • Phone: 559-584-6109
  • Fax: 559-584-8233
Mailing address:
  • Phone: 559-738-1078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number44914
License Number StateCA

VIII. Authorized Official

Name: DR. HOANG TUAN HUY LA
Title or Position: PRESIDENT
Credential:
Phone: 559-738-1078