Individual
ANDY HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3625 MARTIN LUTHER KING JR BLVD, SUITE #5, LYNWOOD, CA 90262-3509
(310) 763-7504
(310) 763-7573
Mailing address
3625 MARTIN LUTHER KING JR BLVD, SUITE #5, LYNWOOD, CA 90262-3509
(310) 763-7504
(310) 763-7573
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A76731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A767310
—
CA
Enumeration date
06/16/2005
Last updated
12/07/2010
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