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NPI Code Detail

MEDICARE: INSUK HONG NP

MEDICARE: INSUK HONG NP
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
1363LW0102XWomen's Health Nurse Practitioner11603CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN468869OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1811071657
Entity Type Code : Individual
Provider Name (Legal Business Name) : INSUK HONG NP
Provider Business Mailing Address
First Line : 3050 E AIRPORT WAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2404
Country : US
Telephone Number : 562-426-9661
Fax Number : 562-426-4227
Provider Business Practice Location Address
First Line : 601 S WESTMORELAND AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-3902
Country : US
Telephone Number : 213-738-7283
Fax Number : 213-738-1107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/08/2007

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