Individual
ANTHONY HENRY HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 EMELINE AVE, SANTA CRUZ, CA 95060
(831) 425-0112
Mailing address
1000 EMELINE AVE, SANTA CRUZ, CA 95060-1900
(831) 425-0112
(831) 462-4970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
03/05/2007
Last updated
08/29/2019
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