Healthcare Provider Details

I. General information

NPI: 1881492262
Provider Name (Legal Business Name): CHORNG-LII HWANG M.D PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81709 DR CARREON BLVD STE B2
INDIO CA
92201-5510
US

IV. Provider business mailing address

81709 DR CARREON BLVD STE B2
INDIO CA
92201-5510
US

V. Phone/Fax

Practice location:
  • Phone: 760-342-4771
  • Fax: 760-342-2289
Mailing address:
  • Phone: 760-342-4771
  • Fax: 760-342-2289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CHORNG LII HWANG
Title or Position: PRESIDENT
Credential: MD
Phone: 760-342-4771