Provider Demographics
NPI:1235711524
Name:HONG, DENNIS HWE-YANG (MS, PHD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:HWE-YANG
Last Name:HONG
Suffix:
Gender:M
Credentials:MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3778 JEWELL ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-6754
Mailing Address - Country:US
Mailing Address - Phone:619-948-6699
Mailing Address - Fax:
Practice Address - Street 1:2525 CAMINO DEL RIO S STE 107
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3718
Practice Address - Country:US
Practice Address - Phone:619-908-9908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122355106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist