Healthcare Provider Details

I. General information

NPI: 1487565255
Provider Name (Legal Business Name): CHRISTINE NHU QUYNH HOANG FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 KELVIN AVE APT 309
IRVINE CA
92614-0109
US

IV. Provider business mailing address

2850 KELVIN AVE APT 309
IRVINE CA
92614-0109
US

V. Phone/Fax

Practice location:
  • Phone: 408-627-9468
  • Fax:
Mailing address:
  • Phone: 408-627-9468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95041506
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: