Provider Demographics
NPI:1821209529
Name:HOANG, QUYEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:QUYEN
Middle Name:
Last Name:HOANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 DACONA AVE
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-2315
Mailing Address - Country:US
Mailing Address - Phone:626-444-1487
Mailing Address - Fax:626-573-0644
Practice Address - Street 1:8914 VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1832
Practice Address - Country:US
Practice Address - Phone:626-573-3545
Practice Address - Fax:626-573-0644
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist