Andy Hong MD Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A76731 Issued in CA

Legal business name

ANDY HONG MD INC

Practice address

3625 Martin Luther King Jr Blvd
#5
Lynwood, CA 90262-3509

Phone

(319) 763-7504

Fax

(310) 763-7573

NPI assigned

Aug 31, 2006

Last updated

Sep 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andy Hong, M.D.NPI 1508861667

Title

President

Phone

(310) 763-7504

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andy Hong, MD

  • Nephrology Physician
  • Lynwood, CA
  • NPI 1508861667
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1871604728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD",
            "address_2": "#5",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "319-763-7504",
            "fax_number": "310-763-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD",
            "address_2": "#5",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "319-763-7504",
            "fax_number": "310-763-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY HONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-763-7504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A76731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A767310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Amezcua
• Maxine Anderson, M.D.
• Monique Marie Gomez Anderson, B.S.
• Arlene Andrade
• Jacqueline Andrade
• Keisha Anthony
• Rafael Alberto Antillon Sr., DDS
• Montserrat Antonio Sandoval
• Apple RX Pharmacy. Inc (Apple RX Pharmacy)
• Norman Mark Aragones

• Nephrology Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.