MEDICARE: HYUN JUNG HONG MD

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	207Q00000X	Family Medicine Physician	9830	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083691927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYUN JUNG HONG MD

Provider Business Mailing Address
First Line	:	4834 SPARKS BLVD
Second Line	:	SUITE 100
City	:	SPARKS
State	:	NV
Zip	:	89436-8215
Country	:	US
Telephone Number	:	775-356-8100
Fax Number	:	775-356-8101

Provider Business Practice Location Address
First Line	:	4834 SPARKS BLVD
Second Line	:	SUITE 100
City	:	SPARKS
State	:	NV
Zip	:	89436-8215
Country	:	US
Telephone Number	:	775-356-8100
Fax Number	:	775-356-8101

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

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	08/03/2021

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