Individual
LONG HOANG HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8592 ROOSEVELT AVE, MIDWAY CITY, CA 92655-1152
(714) 478-1943
Mailing address
8592 ROOSEVELT AVE, MIDWAY CITY, CA 92655-1152
(714) 478-1943
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA10300
CA
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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