Individual
AMANDA HONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 S BROOKHURST ST STE 101, ANAHEIM, CA 92804-3563
(714) 991-5700
Mailing address
PO BOX 624, ATWOOD, CA 92811
(714) 991-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1179684
CA
Other
Enumeration date
01/03/2022
Last updated
02/28/2022
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