Healthcare Provider Details
I. General information
NPI: 1831509272
Provider Name (Legal Business Name): TU HOANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/07/2014
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21455 BIRCH ST SUITE 201
HAYWARD CA
94541-2165
US
IV. Provider business mailing address
PO BOX 591
UNION CITY CA
94587-0591
US
V. Phone/Fax
- Phone: 510-227-0550
- Fax: 510-583-0410
- Phone: 510-342-6206
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: