Healthcare Provider Details

I. General information

NPI: 1376183020
Provider Name (Legal Business Name): DR. CHRISTINA HOANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2020
Last Update Date: 11/27/2023
Certification Date: 01/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6670 ALTON PKWY
IRVINE CA
92618-3734
US

IV. Provider business mailing address

5112 SCHOLARSHIP
IRVINE CA
92612-5696
US

V. Phone/Fax

Practice location:
  • Phone: 949-932-9050
  • Fax:
Mailing address:
  • Phone: 408-499-8910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number66344
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: