Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G79885 | CA |
NPI | 1013933225 |
---|---|
Provider Name | Jane K Hong |
First Address | Anaheim, CA 92801-3664 |
Second Address | Anaheim, CA 92801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 13/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G798850 | (05) | CA |
G74560 | (02) |