Provider Demographics
NPI:1740427624
Name:HWANG, SUNG HWAN (LAC)
Entity Type:Individual
Prefix:DR
First Name:SUNG HWAN
Middle Name:
Last Name:HWANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11960 ARTESIA BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-4093
Mailing Address - Country:US
Mailing Address - Phone:562-860-0242
Mailing Address - Fax:
Practice Address - Street 1:11960 ARTESIA BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-4093
Practice Address - Country:US
Practice Address - Phone:562-860-0242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2013-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12771171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist