Provider Demographics
NPI:1497997597
Name:HONG, SANG WOEN ARTHUR (DC, CCSP)
Entity Type:Individual
Prefix:DR
First Name:SANG WOEN
Middle Name:ARTHUR
Last Name:HONG
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 S PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3383
Mailing Address - Country:US
Mailing Address - Phone:562-447-0533
Mailing Address - Fax:
Practice Address - Street 1:234 S PACIFIC COAST HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3383
Practice Address - Country:US
Practice Address - Phone:562-447-0533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor