Healthcare Provider Details

I. General information

NPI: 1407932155
Provider Name (Legal Business Name): ROBERT Q HOANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 HYDE ST STE 300
SAN FRANCISCO CA
94109-5998
US

IV. Provider business mailing address

815 HYDE ST STE 300
SAN FRANCISCO CA
94109-5998
US

V. Phone/Fax

Practice location:
  • Phone: 415-202-0260
  • Fax: 282-283-1906
Mailing address:
  • Phone: 415-202-0260
  • Fax: 626-228-3190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberC50923
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: