Provider Demographics
NPI:1720579295
Name:HONG, SUNG HOON (LAC)
Entity Type:Individual
Prefix:
First Name:SUNG HOON
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4231 MARKHAM ST STE 224
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3023
Mailing Address - Country:US
Mailing Address - Phone:703-266-2220
Mailing Address - Fax:
Practice Address - Street 1:4231 MARKHAM ST STE 224
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3023
Practice Address - Country:US
Practice Address - Phone:703-266-2220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA012000359171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist