Provider Demographics
NPI:1780034710
Name:HWANG, JOONMYOUNG (DPT)
Entity type:Individual
Prefix:MR
First Name:JOONMYOUNG
Middle Name:
Last Name:HWANG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:JOON MYOUNG
Other - Middle Name:
Other - Last Name:HWANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:101 S 1ST ST
Mailing Address - Street 2:STE 1800
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1938
Mailing Address - Country:US
Mailing Address - Phone:818-558-7252
Mailing Address - Fax:818-558-7312
Practice Address - Street 1:8510 BALBOA BLVD
Practice Address - Street 2:STE 150
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-3583
Practice Address - Country:US
Practice Address - Phone:818-637-2000
Practice Address - Fax:818-654-3417
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist