Provider Demographics
NPI:1730102492
Name:HOANG, HUY DANG TUONG (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HUY
Middle Name:DANG TUONG
Last Name:HOANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6042 MILTON CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-2836
Mailing Address - Country:US
Mailing Address - Phone:866-393-8116
Mailing Address - Fax:866-393-5258
Practice Address - Street 1:9397 HAVEN AVE
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5336
Practice Address - Country:US
Practice Address - Phone:866-393-8116
Practice Address - Fax:866-393-5258
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist