Individual provider Active NPI

Eugenie Hong

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1619322757
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A16193 Issued in CA
Practice address
11301 Wilshire Blvd # W117
Los Angeles, CA 90073-1003
Phone
(310) 478-3711
NPI assigned
Apr 26, 2016
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 20A16193 CA Primary

Addresses

Primary practice location

11301 Wilshire Blvd # W117
Los Angeles, CA 90073-1003

Mailing address

5901 E 7TH St
Long Beach, CA 90822-5201

Other practice location 1

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-3000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210927001345 CA Practitioner - Physical Medicine and Rehabilitation 5799182283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Health and Rehab PCGroup PAC ID 8325315609, 29 clinicians

Practice addresses (Care Compare)

275 Garnet Way
Upland, CA 91786-5932
Phone (201) 308-8995

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
16193CAMDAddiction (Substance Use Disorder) Counselor
20A16193CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants California Inc Physical Medicine & Rehabilitation CurrentSince Feb 9, 2026 Accepting new patients
West Coast Health and Rehab PC Physical Medicine & Rehabilitation CurrentSince Sep 13, 2021 Accepting new patients
Eugenie Hong DO PC Physical Medicine & Rehabilitation CurrentSince Sep 13, 2020 Accepting new patients

Locations

3900 Garfield Ave
Carmichael, CA 95608
Phone (916) 481-6455

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

638 E Colorado Ave
Glendora, CA 91740
Phone (626) 331-0781

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 734-1101

25924 Jackson Ave
Murrieta, CA 92563
Phone (626) 664-2073

11510 Imperial Hwy
Norwalk, CA 90650
Phone (562) 868-6791

9333 La Mesa Dr
Rancho Cucamonga, CA 91701
Phone (909) 308-1102

3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800

27600 Encanto Dr
Sun City, CA 92586
Phone (951) 679-6858

1221 E Arrow Hwy
Upland, CA 91786
Phone (909) 958-1903

275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887

867 E 11th St
Upland, CA 91786
Phone (909) 227-0750

5716 Corsa Ave
Ste 110
Westlake Village, CA 91362
Phone (214) 440-3671

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1619322757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908225201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD # W117",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-478-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118034914",
            "country_code": "US",
            "telephone_number": "516-719-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "EUGENIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A16193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.