Provider Demographics
NPI:1306148770
Name:HOANG, BICH-LOAN T (RPH)
Entity type:Individual
Prefix:MS
First Name:BICH-LOAN
Middle Name:T
Last Name:HOANG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:HOANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3623 LAGO DE BRACCIANO ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-4362
Mailing Address - Country:US
Mailing Address - Phone:408-238-2232
Mailing Address - Fax:
Practice Address - Street 1:570 N SHORELINE BLVD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-3103
Practice Address - Country:US
Practice Address - Phone:650-961-4851
Practice Address - Fax:650-961-5273
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 49258183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist