DR. JOSEPH SUNGWOOK HONG (NPI# 1912018219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912018219 |
Entity Type | Individual |
Full Name | DR. JOSEPH SUNGWOOK HONG |
Credential | DO |
Practice Address |
10243 Genetic Center Dr San Diego CA 92121-6310 |
Mailing Address |
525 Third Avenue Chula Vista CA 91910-5696 |
Practice Telephone | 8585266155 |
Practice Fax Number | 6195854054 |
Mailing Telephone | 6195854050 |
Mailing Fax Number | 6195854054 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2018-03-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 20A8140 | CA | Allopathic & Osteopathic Physicians |
N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 20A8140 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | STATE LICENSE | 20A8140 | 01 |
CAQH | 11542097 | 01 | |
DEA | BH8147046 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144522640 | Joseph Hong | Driver | 3700 Wilshire Blvd Ste 485, Los Angeles, CA 90010-2911 | 2010-12-03 |
1235290941 | Joseph K Hong | Dentist | 16264 Victor St, Victorville, CA 92395 | 2006-12-13 |
1114542107 | Joseph Sung Joon Hong | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-06-15 |
1386022465 | Joseph Hong | Pharmacist | 10000 Bay Pines Blvd, Mail Code 119, Bay Pines, FL 33744-8200 | 2015-05-11 |
1215323761 | Joseph Hong | Internal Medicine | 350 Hawthorne Ave, Oakland, CA 94609 | 2015-04-11 |
1821437815 | Joseph Hong | Internal Medicine | 600 E 233rd St, Bronx, NY 10466-2604 | 2013-06-23 |
1043404031 | Joseph S Hong | Chiropractor | 1700 132nd St Se Ste L, Mill Creek, WA 98012-5309 | 2007-09-01 |
1346258001 | Joseph S Hong | Internal Medicine | 1100 Centennial Ave, Suite 103-104, Piscataway, NJ 08854-4152 | 2006-08-04 |
1548231228 | Joseph Johnson Hong | Dermatology | 1401 New Rd, Linwood, NJ 08221-1121 | 2006-01-30 |
Street Address |
10243 GENETIC CENTER DR |
City | SAN DIEGO |
State | CA |
Zip Code | 92121-6310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346240967 | Eric R Lovell | Emergency Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2005-07-26 |
1811551930 | Samantha Timanus | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2019-04-24 |
1689169062 | Ylan Ton | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2018-06-27 |
1861908386 | Ashley Jennifer Ennedy | Preventive Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-12-19 |
1265979744 | Hossein Manavizadeh | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-01-23 |
1821533985 | Jessica Llamas | Specialist/Technologist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-12-28 |
1770946543 | Jill M. Lundstrom | Pediatrics | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-30 |
1447610571 | Christina N Nakashima | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-02 |
1033578661 | Patricia Polikoff | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-02-10 |
1265859524 | Angela Sung | Psychiatry & Neurology | 10243 Genetic Center Dr, San Diego, CA 92121 | 2014-03-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
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Taxonomy Code | 204C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine, Sports Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588875769 | Ching Chen | Neuromusculoskeletal Medicine, Sports Medicine | 2525 Camino Del Rio S Ste 313, San Diego, CA 92108 | 2007-05-27 |
1649381252 | George William Lefevre | Neuromusculoskeletal Medicine, Sports Medicine | 832 Allerton Ct, San Diego, CA 92109-8201 | 2006-08-31 |
1982743613 | Byron King, Md, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 3939 Ruffin Rd, Suite 101, San Diego, CA 92123-1815 | 2007-02-06 |
1962514125 | Thomas Andrew Schweller | Neuromusculoskeletal Medicine, Sports Medicine | 3200 4th Ave, Suite 100, San Diego, CA 92103-5716 | 2006-08-31 |
1336145697 | Lisa Marie Musial | Neuromusculoskeletal Medicine, Sports Medicine | 6280 Jackson Dr, Ste 8, San Diego, CA 92119-3436 | 2005-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114531837 | Resham Macfarlane | Neuromusculoskeletal Medicine, Sports Medicine | 3025 Dana St, Berkeley, CA 94705-2041 | 2020-08-31 |
1578065934 | Shae Nicole Morgan | Neuromusculoskeletal Medicine, Sports Medicine | 12891 Indiana Ave Unit 41, Riverside, CA 92503-4679 | 2018-03-01 |
1578843793 | Krista Senness Lund | Neuromusculoskeletal Medicine, Sports Medicine | 120 N Clovis Ave Bldg 65, Clovis, CA 93612-0303 | 2011-08-18 |
1851697809 | William James Meecham | Neuromusculoskeletal Medicine, Sports Medicine | 4280 Redwood Hwy Ste 4, San Rafael, CA 94903-2600 | 2011-02-08 |
1689980534 | Avon Day Manney | Neuromusculoskeletal Medicine, Sports Medicine | 5737 Thornhill Dr Ste 207b, Oakland, CA 94611-2144 | 2010-08-28 |
1104153113 | Orange County Medical Group, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 1211 W La Palma Ave Ste 709, Anaheim, CA 92801-2814 | 2009-11-11 |
1750614343 | Westwood Neurodiagnostic Center | Neuromusculoskeletal Medicine, Sports Medicine | 11022 Santa Monica Blvd Ste 310, Los Angeles, CA 90025-7558 | 2009-09-14 |
1922295344 | Wilshire Neuro-diagnostics | Neuromusculoskeletal Medicine, Sports Medicine | 237 S La Cienega Blvd, Beverly Hills, CA 90211-3301 | 2007-09-30 |
1699972042 | Giang-tuyet Nguyen Lam | Neuromusculoskeletal Medicine, Sports Medicine | 26001 Redlands Blvd, Physical Medicine Department, Redlands, CA 92373 | 2007-06-29 |
1760684757 | Carter Harrison Sigmon | Neuromusculoskeletal Medicine, Sports Medicine | 16089 San Dieguito Rd, H102, Rancho Santa Fe, CA 92067 | 2007-06-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.