MEDICARE: SUNGHEE HONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC13756	CA

General Provider Information

NPI Number	:	1063852002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNGHEE HONG

Provider Business Mailing Address
First Line	:	8610 W 3RD ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-3324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8610 W 3RD ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-3324
Country	:	US
Telephone Number	:	310-734-7539
Fax Number	:	310-734-7540

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2013
Last Update Date	:	07/03/2013

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Directions to “ SUNGHEE HONG ” Practice Location

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