Individual
BRUCE K HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9745 PROSPECT AVENUE, SUITE 100, SANTEE, CA 92071
(619) 448-4841
(619) 448-8700
Mailing address
9745 PROSPECT AVENUE, SUITE 100, SANTEE, CA 92071
(619) 448-4841
(619) 448-8700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A7289
CA
2083X0100X
Occupational Medicine Physician
20A7289
CA
Other
Enumeration date
09/22/2006
Last updated
03/29/2011
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