Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | A101767 | CA |
NPI | 1013162452 |
---|---|
Provider Name | Dr. Eric Hong |
First Address | Encinitas, CA 92024-5138 |
Second Address | La Jolla, CA 92037-1223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2008 |
Last Update Date | 08/04/2014 |