Provider Demographics
NPI:1962808030
Name:HONG, JAMES (REEGT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:REEGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 E BORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-1917
Mailing Address - Country:US
Mailing Address - Phone:714-247-9080
Mailing Address - Fax:
Practice Address - Street 1:705 E BORCHARD AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-1917
Practice Address - Country:US
Practice Address - Phone:714-247-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG