Provider Demographics
NPI:1891817235
Name:HOANG, TONY LUAN (DC)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:LUAN
Last Name:HOANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 610430
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95161-0430
Mailing Address - Country:US
Mailing Address - Phone:408-768-2726
Mailing Address - Fax:
Practice Address - Street 1:21615 HESPERIAN BLVD STE C
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-7026
Practice Address - Country:US
Practice Address - Phone:510-586-0010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-29793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor