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NPI Code Detail

MEDICARE: JOHN HOANG PHYSICIAN ASSISTANT CORPORATION

MEDICARE: JOHN HOANG PHYSICIAN ASSISTANT CORPORATION
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
1261QV0200XVA Clinic/Center
2261Q00000XClinic/Center

General Provider Information

NPI Number : 1871425777
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN HOANG PHYSICIAN ASSISTANT CORPORATION
Provider Business Mailing Address
First Line : 14615 MAGNOLIA ST
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-5544
Country : US
Telephone Number : 951-858-6668
Fax Number :
Provider Business Practice Location Address
First Line : 3767 ELIZABETH ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-2508
Country : US
Telephone Number : 951-858-6668
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOHN LONG HOANG
Credential : PA
Telephone Number : 714-267-8087
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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