Physician Compare National (NPI:1922185735)

HEALTHCARE PROVIDER: KEN SHOJI HONBO MD FACE

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922185735
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143417402
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101213000496
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HONBO
	Individual professional last name
Provider First Name	KEN
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1970
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ENDOCRINOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ENDOCRINOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	16311 VENTURA BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 880
	Group Practice or individual's line 2 address
City	ENCINO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	914364335
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8187832000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050761
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE TARZANA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y