Basic Information
Provider Information
NPI: 1861661662
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HONG
FirstName: HOYLOND
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1199 BUSH ST
Address2: STE 300
City: SAN FRANCISCO
State: CA
PostalCode: 941095974
CountryCode: US
TelephoneNumber: 2483886089
FaxNumber: 4153536462
Practice Location
Address1: 900 HYDE ST
Address2: 11TH FLOOR
City: SAN FRANCISCO
State: CA
PostalCode: 941094806
CountryCode: US
TelephoneNumber: 4153536400
FaxNumber: 4153536401
Other Information
ProviderEnumerationDate: 02/26/2008
LastUpdateDate: 04/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000XA96764CAY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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