Provider Demographics
NPI:1801213699
Name:HWANG, JAMES CHOONSIK (LAC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHOONSIK
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 1:100 N BERETANIA ST STE 208
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4709
Mailing Address - Country:US
Mailing Address - Phone:808-728-4062
Mailing Address - Fax:808-626-9475
Practice Address - Street 1:100 N BERETANIA ST STE 208
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4709
Practice Address - Country:US
Practice Address - Phone:808-728-4062
Practice Address - Fax:808-626-9475
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI869171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist