Healthcare Provider Details

I. General information

NPI: 1013218304
Provider Name (Legal Business Name): ANNA HOANG PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2010
Last Update Date: 06/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 S VENTURA RD
OXNARD CA
93030-6523
US

IV. Provider business mailing address

551 S VENTURA RD
OXNARD CA
93030-6523
US

V. Phone/Fax

Practice location:
  • Phone: 209-373-3822
  • Fax:
Mailing address:
  • Phone: 209-373-3822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number64867
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: