Individual
ALYSSA THIEN-THU HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10750 4TH ST STE 150, RANCHO CUCAMONGA, CA 91730-0979
(909) 476-4444
Mailing address
10750 4TH ST STE 150, RANCHO CUCAMONGA, CA 91730-0979
(909) 476-4444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
81022
AZ
207Q00000X
Family Medicine Physician
Primary
C168263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81022
TRAINING PERMIT
AZ
Enumeration date
01/10/2008
Last updated
02/04/2022
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