Healthcare Provider Details

I. General information

NPI: 1346164084
Provider Name (Legal Business Name): LINDEN LAKE FAMILY MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10550 LINDEN LAKE PLZ STE 250
MANASSAS VA
20109-6495
US

IV. Provider business mailing address

10550 LINDEN LAKE PLZ STE 250
MANASSAS VA
20109-6495
US

V. Phone/Fax

Practice location:
  • Phone: 703-424-2057
  • Fax:
Mailing address:
  • Phone: 703-424-2057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JULIAN HOANG
Title or Position: OWNER
Credential: DO
Phone: 703-424-2507