| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TIFFANY HOANG | 1336729623 | 2021-04-11 |
Tiffany Hoang is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336729623. Registration indicates Tiffany Hoang is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Tiffany Hoang |
| Practice Office Address | 11420 WARNER AVENUE FOUNTAIN VALLEY, CA US |
| Practice Office Telephone | 7145491300 |
| Practice Office Fax | 7144333100 |
| Mailing Address | 11420 WARNER AVENUE FOUNTAIN VALLEY, CA 927083720 US |
| Business Telephone | 7145491300 |
| Business Fax | 7144333100 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 300 Canal St | King City, CA 939303431 | 8313856000 |
| MemorialCare FHIR Endpoint [FHIR] | https://memorialcare.org/fhir/api/FHIR/R4/ | Health Information Exchange (HIE) MemorialCare Medical Foundation |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA59649
CA |
| 1336729623 | MEDICAID | CA |