MEDICARE: DENISE A HONER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G71222	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396857496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE A HONER M.D.

Provider Business Mailing Address
First Line	:	5111 GARFIELD ST
Second Line	:	STE A
City	:	LA MESA
State	:	CA
Zip	:	91941-5103
Country	:	US
Telephone Number	:	619-460-4050
Fax Number	:	619-460-7441

Provider Business Practice Location Address
First Line	:	5111 GARFIELD ST
Second Line	:	STE A
City	:	LA MESA
State	:	CA
Zip	:	91941-5103
Country	:	US
Telephone Number	:	619-460-4050
Fax Number	:	619-460-7441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	11/24/2020

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