Individual
DANIEL HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 N HAYWORTH AVE, LOS ANGELES, CA 90048-2702
(323) 852-9200
Mailing address
330 N HAYWORTH AVE, LOS ANGELES, CA 90048-2702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA4264
COTA
CA
Enumeration date
08/13/2019
Last updated
08/13/2019
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