Provider Demographics
NPI:1861600348
Name:HWANG, YOON SUNG (L AC)
Entity type:Individual
Prefix:MR
First Name:YOON SUNG
Middle Name:
Last Name:HWANG
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12587 CARSON ST
Mailing Address - Street 2:
Mailing Address - City:HAWAIIAN GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90716-1667
Mailing Address - Country:US
Mailing Address - Phone:562-809-8626
Mailing Address - Fax:562-865-8957
Practice Address - Street 1:12587 E. CARSON ST.
Practice Address - Street 2:
Practice Address - City:HAWAIIAN GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90716-1667
Practice Address - Country:US
Practice Address - Phone:562-809-8626
Practice Address - Fax:562-865-8957
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10581171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist