Provider Demographics
NPI:1659006583
Name:HOANG, HELENA THAI NHI (PHARMD)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:THAI NHI
Last Name:HOANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2691 KEPPLER DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2508
Mailing Address - Country:US
Mailing Address - Phone:408-605-0987
Mailing Address - Fax:
Practice Address - Street 1:2080 CENTURY PARK E STE 803
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2011
Practice Address - Country:US
Practice Address - Phone:424-535-1874
Practice Address - Fax:213-315-4489
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-24
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH854481835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology