Healthcare Provider Details

I. General information

NPI: 1790281707
Provider Name (Legal Business Name): PHUONG THI HOANG MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 4TH ST STE 232
SAN FRANCISCO CA
94158-2324
US

IV. Provider business mailing address

1651 4TH ST FL 3
SAN FRANCISCO CA
94158-2324
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2311
  • Fax: 415-353-9060
Mailing address:
  • Phone: 415-353-2311
  • Fax: 415-353-9060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: