Healthcare Provider Details

I. General information

NPI: 1386918928
Provider Name (Legal Business Name): ANDY HWAN OH D.C., L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/29/2012
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S HARVARD BLVD SUITE 106
LOS ANGELES CA
90005-2590
US

IV. Provider business mailing address

930 N LONG BEACH BLVD STE 6
COMPTON CA
90221-2261
US

V. Phone/Fax

Practice location:
  • Phone: 213-999-0545
  • Fax:
Mailing address:
  • Phone: 310-635-0270
  • Fax: 310-635-0260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number28831
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number9420
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: