Hong, Stephanie

Hong, Stephanie is an sole proprietor health care provider with primary practice located at 5311 Derry Ave Ste I , Agoura Hills CA 91301-5069. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is her primary health care specialty. Hong, Stephanie can be contacted via phone (818) 707-2523.

Contact Information

Primary practice address
5311 Derry Ave Ste I Agoura Hills CA 91301-5069
Phone: (818) 707-2523
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000001728 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 39134 California

Profile Details

NPI number 1922417716
LBN Legal business name Hong, Stephanie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2014
Last updated Mar 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922417716 NPPES
California Other 39134 PT LICENSE

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