Individual
DR. DERRICK MAKOTO HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
16200 SAND CANYON AVE, IRVINE, CA 92618-3714
(949) 610-7245
(657) 241-7720
Mailing address
PO BOX 3589, NEWPORT BEACH, CA 92659-8589
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A78389
CA
208M00000X
Hospitalist Physician
Primary
A78389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00201333
MEDICARE RAILROAD
CA
01
—
WA78389B
MEDICARE PTAN
CA
Enumeration date
07/24/2006
Last updated
07/21/2022
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