Individual
DR. HUNG V ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
495 OLD NEWPORT BLVD, # 200, NEWPORT BEACH, CA 92663-4210
(949) 646-7546
(949) 646-7556
Mailing address
495 OLD NEWPORT BLVD, # 200, NEWPORT BEACH, CA 92663-4210
(949) 646-7546
(949) 646-7556
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G72989
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G72989
CA
207NS0135X
Procedural Dermatology Physician
G72989
CA
Other
Enumeration date
09/27/2005
Last updated
08/07/2013
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