Healthcare Provider Details

I. General information

NPI: 1134037161
Provider Name (Legal Business Name): MS. LILY HONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18672 FLORIDA ST STE 101B
HUNTINGTON BEACH CA
92648-1925
US

IV. Provider business mailing address

18672 FLORIDA ST STE 101B
HUNTINGTON BEACH CA
92648-1925
US

V. Phone/Fax

Practice location:
  • Phone: 714-489-1809
  • Fax:
Mailing address:
  • Phone: 714-489-1809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number53862
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: