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General NPI Number Information
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NPI Number | 1508175654
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Entity Type | Organization
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Legal Business Name | STEPHEN S. HONG, M.D., A PROFESSIONAL CORP.
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 921 W. 7TH STREET
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City | OXNARD
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State | CA
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Zip | 93030-6755
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Country | US
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Telephone | 805-486-1601
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Fax | 805-487-1094
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Provider Business Mailing Address
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Address Line | 921 W. 7TH STREET
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City | OXNARD
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State | CA
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Zip | 93030-6755
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Country | US
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Telephone | 805-486-1601
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Fax | 805-487-1094
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN S. HONG
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Credential | M.D.
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Telephone | 805-486-1601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A35437
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License Number State | CA
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