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NPI Code Detail

MEDICARE: DELIA DIEP HOANG PHARMD

MEDICARE:   DELIA DIEP HOANG  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist60935CA

General Provider Information

NPI Number : 1063781375
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELIA DIEP HOANG PHARMD
Provider Business Mailing Address
First Line : 2007 AUTUMN GOLD DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95131-2505
Country : US
Telephone Number : 408-420-4414
Fax Number :
Provider Business Practice Location Address
First Line : 2007 AUTUMN GOLD DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95131-2505
Country : US
Telephone Number : 408-420-4414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2011
Last Update Date : 12/16/2011

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Directions to “ DELIA DIEP HOANG PHARMD” Practice Location

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