Healthcare Provider Details

I. General information

NPI: 1801202197
Provider Name (Legal Business Name): JULIA LUU HOANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11401 BLOOMFIELD AVE
NORWALK CA
90650-2015
US

IV. Provider business mailing address

9200 GARDENIA AVE
FOUNTAIN VALLEY CA
92708-2217
US

V. Phone/Fax

Practice location:
  • Phone: 714-206-2608
  • Fax:
Mailing address:
  • Phone: 714-206-2608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA143853
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA143853
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: