Healthcare Provider Details

I. General information

NPI: 1134121460
Provider Name (Legal Business Name): JOHN ARTHUR HONCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1346 FOOTHILL BLVD STE 203
LA CANADA CA
91011-2141
US

IV. Provider business mailing address

1346 FOOTHILL BLVD STE 203
LA CANADA CA
91011-2141
US

V. Phone/Fax

Practice location:
  • Phone: 818-790-6726
  • Fax: 818-790-9562
Mailing address:
  • Phone: 818-790-6726
  • Fax: 818-790-9562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberG40665
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: