MEDICARE: DR. JOHN J HONG D.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	122300000X	Dentist	DS044888	PA
2	122300000X	Dentist	22DI02464400	NJ
3	122300000X	Dentist	101233	CA
4	122300000X	Dentist	056328	NY

General Provider Information

NPI Number	:	1851690184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN J HONG D.M.D.

Provider Business Mailing Address
First Line	:	521 E ELDER ST STE 203
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-3083
Country	:	US
Telephone Number	:	760-626-0077
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 E ELDER ST STE 203
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-3083
Country	:	US
Telephone Number	:	760-626-0077
Fax Number	:

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

Provider Enumeration Date	:	03/25/2011
Last Update Date	:	11/10/2025

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