Organization
STEPHAN T. HONDA, MD INC
Active
Other names
BAYSIDE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN T HONDA I M.D. (MEDICAL DIRECTOR)
(323) 757-2118
Entity
Organization
Contact information
Practice address
2301 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3315
(323) 757-2118
Mailing address
2301 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3315
(323) 757-2118
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G069860
CA
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
10/25/2006
Last updated
09/27/2019
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