Provider Demographics
NPI:1013336817
Name:WANG, HOHUI (MD)
Entity Type:Individual
Prefix:DR
First Name:HOHUI
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:HOHUI
Other - Middle Name:EILEEN
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9500 GILMAN DR
Mailing Address - Street 2:#9116A
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-4040
Mailing Address - Country:US
Mailing Address - Phone:858-534-4040
Mailing Address - Fax:858-534-7653
Practice Address - Street 1:9500 GILMAN DR # 9116A
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-5004
Practice Address - Country:US
Practice Address - Phone:858-534-4040
Practice Address - Fax:848-822-0231
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1438062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry