1336542836 NPI number — MR. JOHN SUK-HYUN HONG ACUPUNCTURIST

Table of content: MR. JOHN SUK-HYUN HONG ACUPUNCTURIST (NPI 1336542836)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336542836 NPI number — MR. JOHN SUK-HYUN HONG ACUPUNCTURIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HONG
Provider First Name:
JOHN
Provider Middle Name:
SUK-HYUN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
ACUPUNCTURIST
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HONG
Provider Other First Name:
SUK
Provider Other Middle Name:
HYUN
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
ACUPUNCTURIST
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1336542836
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
260 S SUNNYVALE AVE
Provider Second Line Business Mailing Address:
SUITE NUMBER 8
Provider Business Mailing Address City Name:
SUNNYVALE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94086-6287
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-205-7353
Provider Business Mailing Address Fax Number:
510-444-1477

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
260 S SUNNYVALE AVE
Provider Second Line Business Practice Location Address:
SUITE NUMBER 8
Provider Business Practice Location Address City Name:
SUNNYVALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94086-6287
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-205-7353
Provider Business Practice Location Address Fax Number:
510-444-1477
Provider Enumeration Date:
09/29/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC006809 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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