MEDICARE: HYUN JOONG 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD00040216	WA
2	207R00000X	Internal Medicine Physician	MD00040216	WA
3	208VP0014X	Interventional Pain Medicine Physician	MD000040216	WA

General Provider Information

NPI Number	:	1336123827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYUN JOONG HONG MD

Provider Business Mailing Address
First Line	:	PO BOX 827
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98009-0827
Country	:	US
Telephone Number	:	425-774-1538
Fax Number	:	425-774-5171

Provider Business Practice Location Address
First Line	:	21616 76TH AVE W
Second Line	:	STE 102
City	:	EDMONDS
State	:	WA
Zip	:	98026-7512
Country	:	US
Telephone Number	:	425-774-1538
Fax Number	:	425-744-1527

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	02/09/2023

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