Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A173133 | CA |
NPI | 1013449537 |
---|---|
Provider Name | Kristy S Hwang |
First Address | San Diego, CA 92121-3069 |
Second Address | San Diego, CA 92121-3069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2017 |
Last Update Date | 04/08/2021 |