Provider Demographics
NPI:1033911482
Name:HONGSARMON, YIN H
Entity type:Individual
Prefix:
First Name:YIN
Middle Name:H
Last Name:HONGSARMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4018 W EL CAMINO DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-4628
Mailing Address - Country:US
Mailing Address - Phone:602-435-5576
Mailing Address - Fax:
Practice Address - Street 1:2434 W. PEORIA AVE
Practice Address - Street 2:
Practice Address - City:PHONENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029
Practice Address - Country:US
Practice Address - Phone:602-661-7488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator