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General NPI Number Information
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NPI Number | 1841675816
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Entity Type | Organization
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Legal Business Name | JOHN C HWANG MD MBA INC
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 07/20/2015
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Provider Practice Location Address
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Address Line | 23521 PASEO DE VALENCIA SUITE 207
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3107
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Country | US
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Telephone | 949-707-5125
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 E 4TH ST SUITE C108
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City | SANTA ANA
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State | CA
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Zip | 92705-3861
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Country | US
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Telephone | 626-334-9212
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JOHN HWANG
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Credential | MD
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Telephone | 626-334-9212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A112582
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License Number State | CA
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