Provider Demographics
NPI:1790758647
Name:HONG, HOON GI (MD)
Entity Type:Individual
Prefix:DR
First Name:HOON
Middle Name:GI
Last Name:HONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5742 BEACH BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-2043
Mailing Address - Country:US
Mailing Address - Phone:714-523-7575
Mailing Address - Fax:714-523-7585
Practice Address - Street 1:5832 BEACH BLVD UNIT 214
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-5501
Practice Address - Country:US
Practice Address - Phone:714-523-7575
Practice Address - Fax:714-523-7585
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA53118207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A531180Medicaid
CA00A531180Medicaid
WA53118CMedicare ID - Type Unspecified