Provider Demographics
NPI:1568664209
Name:SEON H WHANG M.D., INC
Entity Type:Organization
Organization Name:SEON H WHANG M.D., INC
Other - Org Name:SEON H WHANG M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEON
Authorized Official - Middle Name:HO
Authorized Official - Last Name:WHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-381-7272
Mailing Address - Street 1:3663 W 6TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3049
Mailing Address - Country:US
Mailing Address - Phone:213-381-7272
Mailing Address - Fax:213-427-5588
Practice Address - Street 1:3663 W 6TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-3049
Practice Address - Country:US
Practice Address - Phone:213-381-7272
Practice Address - Fax:213-427-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38291207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA38291OtherPROFESSIONAL LICENSE #
CA1043305394OtherNPI NUMBER
CA=========OtherTAX IDENTIFICATION
CA28585Medicare UPIN