Provider Demographics
NPI:1194278309
Name:HOANG, BRIAN BAO (AUD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:BAO
Last Name:HOANG
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13121 PHILADELPHIA ST
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4302
Mailing Address - Country:US
Mailing Address - Phone:562-698-0581
Mailing Address - Fax:
Practice Address - Street 1:13121 PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4302
Practice Address - Country:US
Practice Address - Phone:562-698-0581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist