Provider Demographics
NPI:1881492262
Name:CHORNG-LII HWANG M.D PC
Entity type:Organization
Organization Name:CHORNG-LII HWANG M.D PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHORNG LII
Authorized Official - Middle Name:
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-342-4771
Mailing Address - Street 1:81709 DR CARREON BLVD STE B2
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-5510
Mailing Address - Country:US
Mailing Address - Phone:760-342-4771
Mailing Address - Fax:760-342-2289
Practice Address - Street 1:81709 DR CARREON BLVD STE B2
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-5510
Practice Address - Country:US
Practice Address - Phone:760-342-4771
Practice Address - Fax:760-342-2289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty