Provider Demographics
NPI:1003094087
Name:HONG, THICH N
Entity Type:Individual
Prefix:MR
First Name:THICH
Middle Name:N
Last Name:HONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2718 S RITA WAY
Mailing Address - Street 2:1745 ORANGEWOOD AVE, SUITE 103, ORANGE
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6223
Mailing Address - Country:US
Mailing Address - Phone:714-434-1726
Mailing Address - Fax:
Practice Address - Street 1:2718 S RITA WAY
Practice Address - Street 2:1745 ORANGEWOOD AVE, SUITE 103, ORANGE
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6223
Practice Address - Country:US
Practice Address - Phone:714-434-1726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health