Healthcare Provider Details

I. General information

NPI: 1568168847
Provider Name (Legal Business Name): HWANG AND ESPINOZA CHIROPRACTIC & ACUPUNCTURE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 02/10/2023
Certification Date: 02/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 FAIR OAKS AVE STE 119
SOUTH PASADENA CA
91030-2684
US

IV. Provider business mailing address

625 FAIR OAKS AVE STE 119
SOUTH PASADENA CA
91030-2684
US

V. Phone/Fax

Practice location:
  • Phone: 626-345-5710
  • Fax: 626-345-5831
Mailing address:
  • Phone: 626-345-5710
  • Fax: 626-345-5831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEX HWANG
Title or Position: PRESIDENT
Credential: DC
Phone: 310-938-2229