Healthcare Provider Details

I. General information

NPI: 1053998823
Provider Name (Legal Business Name): JOHN HOJOON HWANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HOJOON KYUJIN HWANG

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH ST. FLOOR 4, BOX 0110
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

550 16TH ST. FLOOR 4, BOX 0110
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 949-241-4062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA193983
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: