Healthcare Provider Details

I. General information

NPI: 1164594339
Provider Name (Legal Business Name): STANLEY HWANG MD PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 ABBOTT ST 100
SALINAS CA
93901-4483
US

IV. Provider business mailing address

PO BOX 2504
SALINAS CA
93902-2504
US

V. Phone/Fax

Practice location:
  • Phone: 831-751-7070
  • Fax:
Mailing address:
  • Phone: 831-751-7070
  • Fax: 831-751-7050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG58772
License Number StateCA

VIII. Authorized Official

Name: STANLEY HWANG
Title or Position: OWNER
Credential: M. D.
Phone: 831-751-7070