Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | A133825 | CA |
Y | 2084N0402X | Child Neurologist | A133825 | CA |
NPI | 1114361060 |
---|---|
Provider Name | Leann Khanh Hoang |
First Address | Orange, CA 92868-4553 |
Second Address | Riverside, CA 92505-3370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2013 |
Last Update Date | 13/08/2020 |