Provider Demographics
NPI:1760448302
Name:HOANG-XUAN, TUAN ANTHONY (DO)
Entity Type:Individual
Prefix:DR
First Name:TUAN
Middle Name:ANTHONY
Last Name:HOANG-XUAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13768 ROSWELL AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-1401
Mailing Address - Country:US
Mailing Address - Phone:909-364-1959
Mailing Address - Fax:909-752-4171
Practice Address - Street 1:13768 ROSWELL AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-1401
Practice Address - Country:US
Practice Address - Phone:909-364-1959
Practice Address - Fax:909-752-4171
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-22
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7954207N00000X, 207NS0135X, 207NP0225X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery