Individual
DR. STEPHAN T HONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3315
(323) 757-2118
Mailing address
2301 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3315
(323) 757-2118
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G6986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G698600
—
CA
Enumeration date
05/31/2007
Last updated
06/06/2008
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