Provider Demographics
NPI:1851554687
Name:HONEGGER, JUDY ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:ANN
Last Name:HONEGGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:ANN
Other - Last Name:FLANNERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 SAN JOSE ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3901
Mailing Address - Country:US
Mailing Address - Phone:831-649-1000
Mailing Address - Fax:831-649-4962
Practice Address - Street 1:250 SAN JOSE ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3901
Practice Address - Country:US
Practice Address - Phone:831-424-7389
Practice Address - Fax:831-758-0547
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOSR 130390200000X
CA20A12288207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program