Organization
JAE Y HONG M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE Y HONG M.D. (ANESTHESIOLOGY)
(661) 729-6854
Entity
Organization
Contact information
Practice address
44301 LORIMER AVE, LANCASTER, CA 93534-3700
(661) 940-1112
(661) 723-6402
Mailing address
PO BOX 2858, LANCASTER, CA 93539-2858
(661) 729-6854
(661) 729-6864
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A31851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A318510
BLUE SHIELD
CA
05
—
00A318510
—
CA
01
—
050066604
MEDICARE RAILROAD
CA
Enumeration date
08/05/2009
Last updated
03/07/2023
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