Doctor Name: | SEOGEUN HONG |
NPI Number: | 1871927962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 350 Engle St Englewood, NJ - 076311808 |
Business Phone Number: | 2018943000 |
Business Fax Number: | |
Mailing Address: | 3727 W 6th St, Ste 200 LOS ANGELES |
State: | CA |
Postal Code: | 900205108 |
Phone Number: | 2132352500 |
Fax Number: | 2132518647 |
NPI Enumeration Date: | 08/26/2013 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |