Provider Demographics
NPI:1598868408
Name:TRUONG, HOA XUAN X (DC)
Entity type:Individual
Prefix:DR
First Name:HOA
Middle Name:XUAN
Last Name:TRUONG
Suffix:X
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32944 LAKE BLUESTONE ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-1213
Mailing Address - Country:US
Mailing Address - Phone:510-709-5586
Mailing Address - Fax:510-324-8542
Practice Address - Street 1:22686 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-5102
Practice Address - Country:US
Practice Address - Phone:510-888-9460
Practice Address - Fax:510-888-9460
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29995111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition