Provider Demographics
NPI:1154604254
Name:HONG, HEE OK
Entity type:Individual
Prefix:
First Name:HEE
Middle Name:OK
Last Name:HONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14441 BEACH BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5350
Mailing Address - Country:US
Mailing Address - Phone:714-537-7752
Mailing Address - Fax:714-898-9818
Practice Address - Street 1:13057 CASA LINDA LN # 37B
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1401
Practice Address - Country:US
Practice Address - Phone:714-537-7752
Practice Address - Fax:714-898-9818
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-25
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12188171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist