Provider Demographics
NPI:1710543145
Name:HOANG, VINH D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VINH
Middle Name:D
Last Name:HOANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10583 GIFFIN WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-3049
Mailing Address - Country:US
Mailing Address - Phone:858-842-0858
Mailing Address - Fax:
Practice Address - Street 1:426 E CHASE AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-6409
Practice Address - Country:US
Practice Address - Phone:619-447-1069
Practice Address - Fax:619-447-4629
Is Sole Proprietor?:No
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75110183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist