Individual
DR. HOAI TRINH T KHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-8142
Mailing address
BANK OF AMERICA FILE NUMBER 54701, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A166451
CA
208000000X
Pediatrics Physician
A166451
CA
208M00000X
Hospitalist Physician
Primary
A166451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922461946
—
CA
01
—
CB350786
MEDICARE
CA
Enumeration date
03/29/2016
Last updated
06/10/2021
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