MEDICARE: MISS CHRISTINA HONG HOANG

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
1	183500000X	Pharmacist	51374	CA

General Provider Information

NPI Number	:	1235459934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CHRISTINA HONG HOANG

Provider Business Mailing Address
First Line	:	15831 CLARENDON ST
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-6938
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 S GAFFEY ST
Second Line	:
City	:	SAN PEDRO
State	:	CA
Zip	:	90731-2437
Country	:	US
Telephone Number	:	310-831-9167
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	06/03/2010

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Directions to “ MISS CHRISTINA HONG HOANG ” Practice Location

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