=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104254465
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOYLOND HONG M D INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/24/2013
-----------------------------------------------------
Last Update Date | 11/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1860 EL CAMINO REAL STE 428
-----------------------------------------------------
City | BURLINGAME
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94010-3117
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-898-6619
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 501 BROADWAY UNIT 388
-----------------------------------------------------
City | MILLBRAE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94030-4209
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-898-6619
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | HOYLOND HONG
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 248-388-6089
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2081P2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
-----------------------------------------------------
License Number | A96764
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------