Provider Demographics
NPI:1134262942
Name:HOANG, ANNA (DC)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:HOANG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 SUMMERFIELD RD STE C
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-5285
Mailing Address - Country:US
Mailing Address - Phone:707-539-6600
Mailing Address - Fax:707-539-6660
Practice Address - Street 1:567 SUMMERFIELD RD STE C
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-5285
Practice Address - Country:US
Practice Address - Phone:707-539-6600
Practice Address - Fax:707-539-6660
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 27445111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor