MEDICARE: DR. LINHVU D HOANG D.C.

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	111N00000X	Chiropractor	DC28494	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346366481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINHVU D HOANG D.C.

Provider Business Mailing Address
First Line	:	175 S CAPITOL AVE STE D
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95127-2845
Country	:	US
Telephone Number	:	408-259-6249
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 S CAPITOL AVE STE D
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95127-2845
Country	:	US
Telephone Number	:	408-259-6249
Fax Number	:	408-259-3249

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

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	07/09/2007

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