Provider Demographics
NPI:1952454472
Name:HWANG, MATTHEW W (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:W
Last Name:HWANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9353 IMPERIAL HWY
Mailing Address - Street 2:KAISER PERMANENTE, DEPT. ORTHOPEDIC-SPINE
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-2812
Mailing Address - Country:US
Mailing Address - Phone:562-657-4110
Mailing Address - Fax:562-657-4161
Practice Address - Street 1:9353 IMPERIAL HWY
Practice Address - Street 2:KAISER PERMANENTE, DEPT. ORTHOPEDIC-SPINE
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2812
Practice Address - Country:US
Practice Address - Phone:562-657-4110
Practice Address - Fax:562-657-4161
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231501207XS0117X
NY234415-1207XS0117X
CAA103984207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2140047Medicaid
MA000226101Medicare PIN