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General NPI Number Information
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NPI Number | 1083971618
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Entity Type | Individual
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Provider Name | VANESSA KIMIKO MARTIN HOANG D.O., M.S.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 27700 MEDICAL CENTER RD
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6426
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Country | US
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Telephone | 949-364-7710
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Fax |
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Provider Business Mailing Address
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Address Line | 22961 VIA MIRAMAR
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2751
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Country | US
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Telephone | 949-291-4468
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 20A13188
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | 20A13188
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 20A13188
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License Number State | CA
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