Individual
KHANH TRONG HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G66951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00666951C
—
CA
05
—
1740210707
—
CA
Enumeration date
07/04/2006
Last updated
05/31/2011
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