Provider Demographics
NPI:1811390206
Name:HOANG ACUPUNCTURE AND WELLNESS
Entity Type:Organization
Organization Name:HOANG ACUPUNCTURE AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:YEE
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:858-336-6288
Mailing Address - Street 1:5021 BARSTOW ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-1424
Mailing Address - Country:US
Mailing Address - Phone:858-336-6288
Mailing Address - Fax:
Practice Address - Street 1:910 CAMINO DEL MAR
Practice Address - Street 2:SUITE H
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2800
Practice Address - Country:US
Practice Address - Phone:858-336-6288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16180171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty