Provider Demographics
NPI:1700361342
Name:HOA, DAO ANH (RPH)
Entity Type:Individual
Prefix:DR
First Name:DAO
Middle Name:ANH
Last Name:HOA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E STETSON AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-7139
Mailing Address - Country:US
Mailing Address - Phone:951-766-1618
Mailing Address - Fax:951-766-2849
Practice Address - Street 1:110 E STETSON AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-7139
Practice Address - Country:US
Practice Address - Phone:951-766-1618
Practice Address - Fax:951-766-2849
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-29
Last Update Date:2018-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist