Provider Demographics
NPI:1336542836
Name:HONG, JOHN SUK-HYUN (ACUPUNCTURIST)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:SUK-HYUN
Last Name:HONG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:MR
Other - First Name:SUK
Other - Middle Name:HYUN
Other - Last Name:HONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:260 S SUNNYVALE AVE
Mailing Address - Street 2:SUITE NUMBER 8
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6287
Mailing Address - Country:US
Mailing Address - Phone:408-205-7353
Mailing Address - Fax:510-444-1477
Practice Address - Street 1:260 S SUNNYVALE AVE
Practice Address - Street 2:SUITE NUMBER 8
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6287
Practice Address - Country:US
Practice Address - Phone:408-205-7353
Practice Address - Fax:510-444-1477
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC006809171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist