Provider Demographics
NPI:1013162452
Name:HONG, ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:320 SANTA FE DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5138
Mailing Address - Country:US
Mailing Address - Phone:858-824-2900
Mailing Address - Fax:858-824-2910
Practice Address - Street 1:9834 GENESEE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1223
Practice Address - Country:US
Practice Address - Phone:858-824-2900
Practice Address - Fax:858-824-2910
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2014-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA101767207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP164UMedicare PIN