Healthcare Provider Details

I. General information

NPI: 1225349889
Provider Name (Legal Business Name): TRAM K. HOANG PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 E 1ST ST STE 120
SANTA ANA CA
92705-4086
US

IV. Provider business mailing address

2010 E 1ST ST STE 120
SANTA ANA CA
92705-4086
US

V. Phone/Fax

Practice location:
  • Phone: 714-954-1902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number61697
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: