Provider Demographics
NPI:1952101107
Name:HOANG, MI
Entity type:Individual
Prefix:
First Name:MI
Middle Name:
Last Name:HOANG
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12912 BROOKHURST ST STE 400
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-4883
Mailing Address - Country:US
Mailing Address - Phone:714-363-9095
Mailing Address - Fax:
Practice Address - Street 1:12912 BROOKHURST ST STE 400
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-4883
Practice Address - Country:US
Practice Address - Phone:714-363-9095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist