Individual
ANDY HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 MONTEREY ST STE 210, SAN LUIS OBISPO, CA 93401-3102
(805) 542-9700
Mailing address
1100 MONTEREY ST STE 210, SAN LUIS OBISPO, CA 93401-3102
(805) 542-9700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
271830
MA
2085R0202X
Diagnostic Radiology Physician
316090
NY
2085R0202X
Diagnostic Radiology Physician
Primary
A177364
CA
Other
Enumeration date
09/19/2017
Last updated
12/29/2022
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