Healthcare Provider Details

I. General information

NPI: 1851554687
Provider Name (Legal Business Name): JUDY ANN HONEGGER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUDY ANN FLANNERY

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 09/18/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26365 CARMEL RANCHO BLVD SUITE F
CARMEL CA
93923
US

IV. Provider business mailing address

26365 CARMEL RANCHO BLVD SUITE F
CARMEL CA
93923
US

V. Phone/Fax

Practice location:
  • Phone: 831-623-3200
  • Fax: 831-622-1999
Mailing address:
  • Phone: 831-623-3200
  • Fax: 831-622-1999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number20A12288
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberDOSR 130
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberDO20A12288
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: