# IVAN P. HWANG, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326322256
- **Authorized official:** KELLY CREIGHTON (BOOKKEEPING MANAGER)
- **Authorized official phone:** (925) 754-2625

## Contact information

- **Practice address:** 111 DEERWOOD RD, SUITE 300, SAN RAMON, CA 94583-4409
- **Practice address phone:** (925) 855-9912
- **Mailing address:** 111 DEERWOOD RD, SUITE 300, SAN RAMON, CA 94583-4409
- **Mailing address phone:** (925) 855-9912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2011
- **Last updated:** 10/11/2011