MEDICARE: HWP MANAGEMENT INC

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1558133801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HWP MANAGEMENT INC

Provider Business Mailing Address
First Line	:	516 JENSEN WAY
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92833-3111
Country	:	US
Telephone Number	:	714-213-8593
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 JENSEN WAY
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92833-3111
Country	:	US
Telephone Number	:	714-213-8593
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DONGHYUN MOON
Credential	:
Telephone Number	:	714-615-4874

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	10/30/2023

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Directions to “HWP MANAGEMENT INC ” Practice Location

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