Healthcare Provider Details

I. General information

NPI: 1770161002
Provider Name (Legal Business Name): JAMES HUY HOANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 CLEARFIELD AVE
VIRGINIA BEACH VA
23462-1815
US

IV. Provider business mailing address

6301 MONROE PL
NORFOLK VA
23508-1266
US

V. Phone/Fax

Practice location:
  • Phone: 757-452-3459
  • Fax:
Mailing address:
  • Phone: 310-848-9871
  • Fax:

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: