Healthcare Provider Details

I. General information

NPI: 1962563460
Provider Name (Legal Business Name): JANET S. HONG-AUYOUNG PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 HOSPITAL PKWY SUITE 310
SAN JOSE CA
95119-1106
US

IV. Provider business mailing address

275 HOSPITAL PKWY SUITE 310
SAN JOSE CA
95119-1106
US

V. Phone/Fax

Practice location:
  • Phone: 408-972-6100
  • Fax:
Mailing address:
  • Phone: 408-972-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA17594
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: