Healthcare Provider Details
I. General information
NPI: 1720970742
Provider Name (Legal Business Name): HONEY MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3663 W 6TH ST STE 308
LOS ANGELES CA
90020-3050
US
IV. Provider business mailing address
3056 FLETCHER DR
LOS ANGELES CA
90065-2207
US
V. Phone/Fax
- Phone: 323-256-2231
- Fax:
- Phone: 323-256-2231
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
TRACY
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 213-999-7770