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NPI Code Detail

MEDICARE: MR. DANIEL JINSUNG HONG DO

MEDICARE: MR. DANIEL JINSUNG HONG DO
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
1207Q00000XFamily Medicine Physician20A24071CA

General Provider Information

NPI Number : 1548901804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL JINSUNG HONG DO
Provider Business Mailing Address
First Line : 38 OLD FIELD LN
Second Line :
City : GREAT NECK
State : NY
Zip : 11020-1237
Country : US
Telephone Number : 917-886-0213
Fax Number :
Provider Business Practice Location Address
First Line : 1400 E PALOMAR ST
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-1800
Country : US
Telephone Number : 858-499-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2022
Last Update Date : 12/22/2025

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