Healthcare Provider Details

I. General information

NPI: 1801278577
Provider Name (Legal Business Name): DANIEL WONIL HWANG DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7462 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91605-2801
US

IV. Provider business mailing address

7462 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91605-2801
US

V. Phone/Fax

Practice location:
  • Phone: 818-764-0113
  • Fax: 818-764-0582
Mailing address:
  • Phone: 818-764-0113
  • Fax: 818-764-0582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number47096
License Number StateCA

VIII. Authorized Official

Name: DR. DANIEL HWANG
Title or Position: OWNER
Credential: DDS
Phone: 818-764-0113