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General NPI Number Information
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NPI Number | 1972812022
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Entity Type | Organization
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Legal Business Name | DONNA M HONG OD INC
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 07/23/2023
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Provider Practice Location Address
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Address Line | 5520 WHITTIER BLVD
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City | COMMERCE
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State | CA
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Zip | 90022-4104
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Country | US
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Telephone | 323-728-2708
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Fax | 323-728-0096
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Provider Business Mailing Address
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Address Line | 5520 WHITTIER BLVD
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City | COMMERCE
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State | CA
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Zip | 90022-4104
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Country | US
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Telephone | 323-728-2708
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Fax | 323-728-0096
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. DONNA HONG
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Credential | O.D.
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Telephone | 323-728-2708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13249T
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License Number State | CA
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