Healthcare Provider Details

I. General information

NPI: 1215840103
Provider Name (Legal Business Name): HP LOCHUNGVU MD INC A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY AVE STE 111
SACRAMENTO CA
95825-6514
US

IV. Provider business mailing address

500 UNIVERSITY AVE STE 111
SACRAMENTO CA
95825-6514
US

V. Phone/Fax

Practice location:
  • Phone: 651-724-4173
  • Fax:
Mailing address:
  • Phone: 651-724-4173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: HNOUCHI PATRICIA LOCHUNGVU
Title or Position: PRESIDENT
Credential: MD
Phone: 651-724-4173