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Provider Information for 1154501252



KATHLEEN C. HWANG

Gender: FEMALE

Individual NPI: 1154501252

Calendar Last Updated: 2007-11-07

Details

Name Value
NPI 1154501252
Enumeration Date 2007-11-07
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 638 W DUARTE RD STE 3
ARCADIA, CA 91007-7616
United States

Phone: 626-445-1431 | Fax:
View Map External Link
Primary Practice Address 638 W DUARTE RD STE 3
ARCADIA, CA 91007-7616
United States

Phone: 626-445-1431 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223X0400X - Dentist Orthodontics and Dentofacial Orthopedics CA 45576