Organization
PACIFIC COAST DERMATOLOGY, INC.
Active
Organization
PACIFIC COAST DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUAN ANTHONY HOANG-XUAN D.O (CEO)
(909) 364-1959
Entity
Organization
Contact information
Practice address
13768 ROSWELL AVE, SUITE 102, CHINO, CA 91710-1401
(909) 364-1959
(909) 752-4171
Mailing address
13768 ROSWELL AVE, SUITE 102, CHINO, CA 91710-1401
(909) 364-1959
(909) 752-4171
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A7954
CA
Other
Enumeration date
08/20/2007
Last updated
10/09/2007
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