# KIM MY HOANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467123604
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 95018471 | CA | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 95018471 | CA | — |

## Other

- **Enumeration date:** 09/27/2021
- **Last updated:** 01/07/2026