MEDICARE: XCM INC, CENTER FOR NATURAL FAMILY MEDICINE

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	207Q00000X	Family Medicine Physician	20A7347	CA

General Provider Information

NPI Number	:	1871985473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XCM INC, CENTER FOR NATURAL FAMILY MEDICINE

Provider Business Mailing Address
First Line	:	5482 WILSHIRE BLVD
Second Line	:	SUITE 144
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4218
Country	:	US
Telephone Number	:	323-651-4454
Fax Number	:	323-776-4286

Provider Business Practice Location Address
First Line	:	5482 WILSHIRE BLVD
Second Line	:	SUITE 144
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4218
Country	:	US
Telephone Number	:	323-651-4454
Fax Number	:	323-776-4286

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LETRINH HOANG
Credential	:	D.O.
Telephone Number	:	619-383-6700

Provider Enumeration Date	:	02/19/2015
Last Update Date	:	02/19/2015

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