Provider Demographics
NPI:1174682256
Name:HWANG, HA LYOUNG
Entity type:Individual
Prefix:DR
First Name:HA
Middle Name:LYOUNG
Last Name:HWANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 ROSECRANS ST
Mailing Address - Street 2:SUITE .#C
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-2638
Mailing Address - Country:US
Mailing Address - Phone:619-866-1414
Mailing Address - Fax:619-757-1478
Practice Address - Street 1:1370 ROSECRANS ST
Practice Address - Street 2:SUITE. #C
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-2638
Practice Address - Country:US
Practice Address - Phone:619-866-1414
Practice Address - Fax:619-757-1478
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 9404171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist