| Tri-dung G. Hoang Md, Inc. | |
|
6540 Stockton Blvd Ste 3a Sacramento CA 95823-1635 | |
| (916) 391-0170 | |
| (916) 391-0442 |
| Full Name | Tri-dung G. Hoang Md, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6540 Stockton Blvd Ste 3a, Sacramento, California |
| Authorized Official Name and Position | Tri-dung G Hoang (CEO) |
| Authorized Official Contact | 9163910170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-dung G. Hoang Md, Inc. 6540 Stockton Blvd Ste 3a Sacramento CA 95823-1635 Ph: (916) 391-0170 | Tri-dung G. Hoang Md, Inc. 6540 Stockton Blvd Ste 3a Sacramento CA 95823-1635 Ph: (916) 391-0170 |
| NPI Number | 1568771632 |
|---|---|
| Provider Enumeration Date | 10/06/2010 |
| Last Update Date | 05/16/2016 |
| Medicare PECOS PAC ID | 2769654672 |
|---|---|
| Medicare Enrollment ID | O20111018000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568771632 | NPI | - | NPPES |
| 1568771632 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A79685 (California) | Primary |
| Provider Name | Hung G Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275581233 PECOS PAC ID: 0547211732 Enrollment ID: I20050512000190 |
| Provider Name | Sen H Jone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700953791 PECOS PAC ID: 7719036615 Enrollment ID: I20090526000376 |
| Provider Name | Tri-dung G Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043268014 PECOS PAC ID: 6204008113 Enrollment ID: I20111024000625 |
| Provider Name | Hung-anh Ba Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871594036 PECOS PAC ID: 6406831585 Enrollment ID: I20111104000244 |
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