MEDICARE: DR. GYUIN HWANG O.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	19694	CA

General Provider Information

NPI Number	:	1013611870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GYUIN HWANG O.M.D

Provider Business Mailing Address
First Line	:	810 ORANGE GROVE AVE UNIT 5
Second Line	:
City	:	SOUTH PASADENA
State	:	CA
Zip	:	91030-2423
Country	:	US
Telephone Number	:	323-631-5856
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 ORANGE GROVE AVE UNIT 5
Second Line	:
City	:	SOUTH PASADENA
State	:	CA
Zip	:	91030-2423
Country	:	US
Telephone Number	:	323-631-5856
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	11/26/2024

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