Healthcare Provider Details

I. General information

NPI: 1699772350
Provider Name (Legal Business Name): GEORGE G HON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2005
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:
Title or Position:
Credential:
Phone: