Provider Demographics
NPI:1760549109
Name:HOANG, SYLVIA HANH (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:HANH
Last Name:HOANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HANH
Other - Middle Name:THI
Other - Last Name:HOANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2333 MOWRY AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538
Mailing Address - Country:US
Mailing Address - Phone:510-790-9991
Mailing Address - Fax:510-790-9993
Practice Address - Street 1:2333 MOWRY AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-796-0222
Practice Address - Fax:510-796-7760
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62015207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG87439Medicare UPIN