Provider Demographics
NPI:1124120845
Name:HONG, HOYMAN (MD)
Entity type:Individual
Prefix:DR
First Name:HOYMAN
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 N SAN MATEO DR
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2824
Mailing Address - Country:US
Mailing Address - Phone:650-513-6651
Mailing Address - Fax:650-350-4395
Practice Address - Street 1:34 N SAN MATEO DR STE 2
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2824
Practice Address - Country:US
Practice Address - Phone:650-513-6651
Practice Address - Fax:650-350-4395
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA681612081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH59158Medicare UPIN
CA00A681610Medicare ID - Type Unspecified