MEDICARE: MAY CHIEN-SHIAN HONG M.D.

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	227784	NY
2	207Q00000X	Family Medicine Physician	L1887	TX
3	207Q00000X	Family Medicine Physician	A93205	CA

General Provider Information

NPI Number	:	1811933690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAY CHIEN-SHIAN HONG M.D.

Provider Business Mailing Address
First Line	:	670 9TH ST STE 203
Second Line	:
City	:	ARCATA
State	:	CA
Zip	:	95521-6249
Country	:	US
Telephone Number	:	707-826-8633
Fax Number	:	707-826-8638

Provider Business Practice Location Address
First Line	:	2350 BUHNE ST
Second Line	:	SUITE A
City	:	EUREKA
State	:	CA
Zip	:	95501-3238
Country	:	US
Telephone Number	:	707-443-4593
Fax Number	:

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	11/03/2021

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