Healthcare Provider Details
I. General information
NPI: 1487568994
Provider Name (Legal Business Name): ERIC HWANG MD MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10601 WALKER ST STE 250B
CYPRESS CA
90630-4733
US
IV. Provider business mailing address
10601 WALKER ST STE 250B
CYPRESS CA
90630-4733
US
V. Phone/Fax
- Phone: 858-357-3536
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
ERIC
HWANG
Title or Position: PRESIDENT
Credential: MD
Phone: 858-357-3536