Healthcare Provider Details

I. General information

NPI: 1770869679
Provider Name (Legal Business Name): MONICA HOANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7979 GATEWAY BLVD STE 120
NEWARK CA
94560-1157
US

IV. Provider business mailing address

7979 GATEWAY BOULEVARD SUITE 120
NEWARK CA
94560
US

V. Phone/Fax

Practice location:
  • Phone: 650-319-5595
  • Fax:
Mailing address:
  • Phone: 650-319-5595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number55452
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: