MEDICARE: HOANG KIM DO MD

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	208200000X	Plastic Surgery Physician	A82778	CA

General Provider Information

NPI Number	:	1841332517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOANG KIM DO MD

Provider Business Mailing Address
First Line	:	1848 SARATOGA AVE
Second Line	:	SUITE 4A
City	:	SARATOGA
State	:	CA
Zip	:	95070-6612
Country	:	US
Telephone Number	:	408-866-9991
Fax Number	:	408-866-9993

Provider Business Practice Location Address
First Line	:	1848 SARATOGA AVE
Second Line	:	SUITE 4A
City	:	SARATOGA
State	:	CA
Zip	:	95070-6612
Country	:	US
Telephone Number	:	408-866-9991
Fax Number	:	408-866-9993

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	11/29/2010

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Directions to “ HOANG KIM DO MD” Practice Location

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