Individual provider Active NPI

Mung Gi Hong, PA-C

  • Medical Physician Assistant
  • Huntington Park, CA
National Provider Identifier
1104646611
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
65236 Issued in CA
Practice address
2680 Saturn Ave Ste 220280
Huntington Park, CA 90255-4377
Phone
(323) 908-4200
NPI assigned
Oct 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 65236 CA Primary

Addresses

Primary practice location

2680 Saturn Ave Ste 220280
Huntington Park, CA 90255-4377

Mailing address

2680 Saturn Ave Ste 220280
Huntington Park, CA 90255-4377

Other names 1

  • David Hong Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102000230 CA Practitioner - Physician Assistant 6305373408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Family Health Center CurrentSince Dec 10, 2024 Accepting new patients
South Central Family Health Center Multi-Specialty Past Accepting new patients

Locations

2680 Saturn Ave
Ste 110
Huntington Park, CA 90255

4425 S Central Ave
Los Angeles, CA 90011

3410 Hooper Ave
Los Angeles, CA 90011

Interoperability endpoints

  • Direct secure messaging: david.hong.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1104646611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 SATURN AVE STE 220280",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 SATURN AVE STE 220280",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554377",
            "telephone_number": "323-908-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "MUNG GI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-10",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "65236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "HONG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.