Hoang, Khang Victor
Hoang, Khang Victor is an sole proprietor health care provider with primary practice located at 13672 Hawthorne Blvd , Hawthorne CA 90250-5810. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hoang, Khang Victor can be contacted via phone (310) 644-5097.Contact Information
Primary practice address
13672 Hawthorne Blvd
Hawthorne CA 90250-5810
Phone: (310) 644-5097
Fax: (310) 644-5408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A5883 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20A5883 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 20A5883 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 20A5883 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20A5883 | California |
Profile Details
| NPI number | 1952397937 |
|---|---|
| LBN Legal business name | Hoang, Khang Victor |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Dec 4th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952397937 | NPPES |
| California | Other | 45D0710412 | CLIA |
| California | Other | 7210925 | CLIA |
| California | MEDICAID | 00AX58830 | CLIA |
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