Individual
HAILEY H HWANGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
433 N 4TH ST STE 208, MONTEBELLO, CA 90640-4309
(323) 201-4130
(323) 201-4134
Mailing address
433 N 4TH ST STE 208, MONTEBELLO, CA 90640-4309
(323) 201-4130
(323) 201-4134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP15839
CA
Other
Enumeration date
11/10/2005
Last updated
11/03/2021
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