Provider Demographics
NPI:1912321878
Name:HOANG, DON (MD, MHS)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:
Last Name:HOANG
Suffix:
Gender:M
Credentials:MD, MHS
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Other - Credentials:
Mailing Address - Street 1:1200 N STATE ST, CLINIC TOWER SUITE A7D
Mailing Address - Street 2:GRADUATE MEDICAL EDUCATION LAC USC MEDICAL CENTER
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033
Mailing Address - Country:US
Mailing Address - Phone:323-442-7903
Mailing Address - Fax:323-442-7901
Practice Address - Street 1:1200 N STATE ST, CLINIC TOWER SUITE A7D
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION LAC USC MEDICAL CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:323-442-7903
Practice Address - Fax:323-442-7901
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA128539208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery