Provider Demographics
NPI:1588712673
Name:HOANG, LETRINH (DO)
Entity type:Individual
Prefix:MS
First Name:LETRINH
Middle Name:
Last Name:HOANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 N. 5TH AVE.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3739
Mailing Address - Country:US
Mailing Address - Phone:626-358-2500
Mailing Address - Fax:626-358-2311
Practice Address - Street 1:51 N. 5TH AVE.
Practice Address - Street 2:SUITE 201
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3739
Practice Address - Country:US
Practice Address - Phone:626-358-2500
Practice Address - Fax:626-358-2311
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7347208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics