Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A68161 | CA |
NPI | 1124120845 |
---|---|
Provider Name | Dr. Hoyman Hong |
First Address | San Mateo, CA 94401-2824 |
Second Address | San Mateo, CA 94401-2824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 29/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H59158 | (02) | CA |