Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 245362 | NY |
N | 111NI0900X | Internist | 245362 | NY |
Y | 207RG0100X | Gastroenterologist | A108110 | CA |
NPI | 1003090085 |
---|---|
Provider Name | Dr. Caroline Hwang |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2007 |
Last Update Date | 10/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1902846306 | GROUP NPI (01) | CA |
GR0100430 | GROUP MEDI-CAL (01) | CA |
W18762 | GROUP MEDICARE (01) | CA |