Provider Demographics
NPI:1992421879
Name:HOANG, CRISTINA MINH (CCC-SLP)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MINH
Last Name:HOANG
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39655 TRINITY WAY APT 8207
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2038
Mailing Address - Country:US
Mailing Address - Phone:949-232-8356
Mailing Address - Fax:
Practice Address - Street 1:39675 CEDAR BLVD STE 155
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5490
Practice Address - Country:US
Practice Address - Phone:877-510-0685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31428235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist