Individual
DR. CLINT HOANGQUOCGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3955 BONITA RD, BONITA, CA 91902-1230
(619) 528-6111
Mailing address
101 BODIN CIR, 60 MDG/MDOS/SGOMI, TRAVIS AFB, CA 94535-1809
(707) 423-3881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20823
MS
207R00000X
Internal Medicine Physician
Primary
20A13441
CA
208M00000X
Hospitalist Physician
20A13441
CA
Other
Enumeration date
05/07/2007
Last updated
12/03/2021
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