Individual
AMANDA HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1310 W STEWART DR STE 410, ORANGE, CA 92868-3855
(714) 538-8549
Mailing address
1310 W STEWART DR STE 410, ORANGE, CA 92868-3855
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
58945
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/29/2019
Last updated
03/28/2022
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