Provider Demographics
NPI:1780761965
Name:VAN, HOHAI TRUONG (MD)
Entity type:Individual
Prefix:DR
First Name:HOHAI
Middle Name:TRUONG
Last Name:VAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:24022 CALLE DE LA PLATA
Mailing Address - Street 2:SUITE 500
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3626
Mailing Address - Country:US
Mailing Address - Phone:714-445-0220
Mailing Address - Fax:714-445-0246
Practice Address - Street 1:24022 CALLE DE LA PLATA
Practice Address - Street 2:SUITE 500
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3107
Practice Address - Country:US
Practice Address - Phone:714-445-0220
Practice Address - Fax:714-445-0246
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2015-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA76001207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology