Provider Demographics
NPI:1730391020
Name:HOANGQUOCGIA, MICHELLE (DO)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:HOANGQUOCGIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:NOYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 7096
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95267-0096
Mailing Address - Country:US
Mailing Address - Phone:209-956-7725
Mailing Address - Fax:209-956-7733
Practice Address - Street 1:726 4TH ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-5656
Practice Address - Country:US
Practice Address - Phone:530-749-4300
Practice Address - Fax:989-895-4626
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A13341207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology