Healthcare Provider Details

I. General information

NPI: 1689783292
Provider Name (Legal Business Name): GEORGE HON MD A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16415 COLORADO AVE STE 100
PARAMOUNT CA
90723-5051
US

IV. Provider business mailing address

16415 COLORADO AVE STE 100
PARAMOUNT CA
90723-5051
US

V. Phone/Fax

Practice location:
  • Phone: 562-297-4120
  • Fax: 562-297-4008
Mailing address:
  • Phone: 562-297-4120
  • Fax: 562-297-4008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberG73910
License Number StateCA

VIII. Authorized Official

Name: DR. GEORGE G HON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 562-424-2800