Provider Demographics
NPI:1659664308
Name:HONG, CHRISTOPHER MANHEE (ACUPUNCTURERIST)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:MANHEE
Last Name:HONG
Suffix:
Gender:M
Credentials:ACUPUNCTURERIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11177 HESPERIA RD
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-2129
Mailing Address - Country:US
Mailing Address - Phone:213-447-0518
Mailing Address - Fax:
Practice Address - Street 1:11177 HESPERIA RD
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-2129
Practice Address - Country:US
Practice Address - Phone:213-447-0518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12909171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist