Active NPI
Justin Hong
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1073081030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18880
- Practice address
- 620 S Virgil Ave Apt 344
Los Angeles, CA 90005-4085 - Phone
- (562) 242-4392
- NPI assigned
- Nov 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18880 | CA | Primary |
Addresses
Primary practice location
620 S Virgil Ave Apt 344
Los Angeles, CA 90005-4085
Mailing address
520 S Virgil Ave
Ste 201
Los Angeles, CA 90020-1425
Phone (213) 365-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18880 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1073081030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S VIRGIL AVE",
"address_2": "STE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201425",
"telephone_number": "213-365-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S VIRGIL AVE APT 344",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900054085",
"telephone_number": "562-242-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-07",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.