Individual
JIMMY HO HWANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18251 ROSCOE BLVD, SUITE 102, NORTHRIDGE, CA 91325-4200
(818) 885-0588
Mailing address
19943 LASSEN ST, CHATSWORTH, CA 91311-5539
(818) 885-0588
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A38692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A386920, 00A386921
—
CA
Enumeration date
07/17/2006
Last updated
07/08/2007
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