Provider Demographics
NPI:1952412470
Name:HWANG, STEVE T (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:T
Last Name:HWANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SHIH-TSUNG
Other - Middle Name:
Other - Last Name:HWANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10212 WESTMINSTER AVE
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4800
Mailing Address - Country:US
Mailing Address - Phone:714-210-1718
Mailing Address - Fax:714-210-1720
Practice Address - Street 1:10212 WESTMINSTER AVE
Practice Address - Street 2:SUITE # 102
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4800
Practice Address - Country:US
Practice Address - Phone:714-210-1718
Practice Address - Fax:714-210-1720
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31916174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A31916Medicaid
CAA31916Medicare ID - Type Unspecified
CAB50179Medicare UPIN