Healthcare Provider Details

I. General information

NPI: 1275408262
Provider Name (Legal Business Name): MELISSA HOANG PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14516 BROOKHURST ST
WESTMINSTER CA
92683-5750
US

IV. Provider business mailing address

15742 STARBOARD ST
GARDEN GROVE CA
92843-5351
US

V. Phone/Fax

Practice location:
  • Phone: 714-852-3789
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91478
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: