Provider Demographics
NPI:1881477891
Name:MHOANG NURSING PC
Entity type:Organization
Organization Name:MHOANG NURSING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:QUANANH
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:940-447-1299
Mailing Address - Street 1:2418 SAN GABRIEL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-3674
Mailing Address - Country:US
Mailing Address - Phone:940-447-1299
Mailing Address - Fax:531-200-7394
Practice Address - Street 1:2418 SAN GABRIEL BLVD STE A
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-3674
Practice Address - Country:US
Practice Address - Phone:940-447-1299
Practice Address - Fax:531-200-7394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty