Provider Demographics
NPI:1235155151
Name:HONG, SUNG JEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNG
Middle Name:JEEN
Last Name:HONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3000 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006
Mailing Address - Country:US
Mailing Address - Phone:213-380-1122
Mailing Address - Fax:213-480-4800
Practice Address - Street 1:3000 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006
Practice Address - Country:US
Practice Address - Phone:213-380-1122
Practice Address - Fax:213-480-4800
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2011-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34082208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics