Healthcare Provider Details

I. General information

NPI: 1255014395
Provider Name (Legal Business Name): ANNA HOANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 CORINTH AVE APT 7
LOS ANGELES CA
90025-3227
US

IV. Provider business mailing address

1530 CORINTH AVE APT 7
LOS ANGELES CA
90025-3227
US

V. Phone/Fax

Practice location:
  • Phone: 310-488-2552
  • Fax:
Mailing address:
  • Phone: 310-488-2552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: