Provider Demographics
NPI:1699874826
Name:HOANG, BRUCE K (DO)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:K
Last Name:HOANG
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Gender:M
Credentials:DO
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Mailing Address - Street 1:9745 PROSPECT AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071
Mailing Address - Country:US
Mailing Address - Phone:619-448-4841
Mailing Address - Fax:619-448-8700
Practice Address - Street 1:9745 PROSPECT AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071
Practice Address - Country:US
Practice Address - Phone:619-448-4841
Practice Address - Fax:619-448-8700
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2011-03-29
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Provider Licenses
StateLicense IDTaxonomies
CA20A7289207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine