| Tu Hoang Md | |
|
1881 Commercenter E Suite 120 San Bernardino CA 92408-3456 | |
| (909) 883-2394 | |
| (909) 886-3069 |
| Full Name | Tu Hoang Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1881 Commercenter E, San Bernardino, California |
| Authorized Official Name and Position | Tu Hoang (OWNER) |
| Authorized Official Contact | 9098832394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tu Hoang Md 1881 Commercenter E Suite 120 San Bernardino CA 92408-3456 Ph: (909) 883-2394 | Tu Hoang Md 1881 Commercenter E Suite 120 San Bernardino CA 92408-3456 Ph: (909) 883-2394 |
| NPI Number | 1881931590 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 01/06/2020 |
| Medicare PECOS PAC ID | 0648423921 |
|---|---|
| Medicare Enrollment ID | O20130117000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881931590 | NPI | - | NPPES |
| P00310658 | Other | RAILROAD MEDICARE PIN | |
| 00A799620 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A79962 (California) | Primary |
| Provider Name | Tu Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588696223 PECOS PAC ID: 9537183330 Enrollment ID: I20060119000611 |
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