Provider Demographics
NPI:1740767706
Name:GEORGE HWANG ACUPUNCTURE CLINIC, INC.
Entity Type:Organization
Organization Name:GEORGE HWANG ACUPUNCTURE CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHENG-CHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:408-221-5796
Mailing Address - Street 1:6640 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3870
Mailing Address - Country:US
Mailing Address - Phone:408-454-8267
Mailing Address - Fax:
Practice Address - Street 1:10430 S DE ANZA BLVD STE 195
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3006
Practice Address - Country:US
Practice Address - Phone:408-454-8267
Practice Address - Fax:408-693-3744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-23
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15898171100000X, 302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Single Specialty