Provider Demographics
NPI:1528331196
Name:HONG, SY (BA)
Entity type:Individual
Prefix:
First Name:SY
Middle Name:
Last Name:HONG
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:TRACI
Other - Middle Name:
Other - Last Name:HONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1261 SMOKE TREE DR
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-6918
Mailing Address - Country:US
Mailing Address - Phone:714-732-9577
Mailing Address - Fax:
Practice Address - Street 1:1261 SMOKE TREE DR
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-6918
Practice Address - Country:US
Practice Address - Phone:714-732-9577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker