Individual
JOON TAE HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVY MEDICAL CENTER SAN DIEGO, SAN DIEGO, CA 92134-0001
(747) 257-7504
Mailing address
438 W DRYDEN ST APT 2, GLENDALE, CA 91202-2351
(747) 257-7504
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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