Healthcare Provider Details

I. General information

NPI: 1861551905
Provider Name (Legal Business Name): HUNG V. ONG, MD., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 PLACENTIA AVE #205
NEWPORT BEACH CA
92663-3308
US

IV. Provider business mailing address

307 PLACENTIA AVE #205
NEWPORT BEACH CA
92663-3308
US

V. Phone/Fax

Practice location:
  • Phone: 949-646-7546
  • Fax: 949-646-7556
Mailing address:
  • Phone: 949-646-7546
  • Fax: 949-646-7556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. HUNG V. ONG
Title or Position: PRESIDENT
Credential: MD
Phone: 949-646-7546