Provider Demographics
NPI:1053184325
Name:HWANG, MYUNG HEE
Entity type:Individual
Prefix:
First Name:MYUNG
Middle Name:HEE
Last Name:HWANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12761 HARBOR BLVD STE I3
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-5854
Mailing Address - Country:US
Mailing Address - Phone:714-539-3122
Mailing Address - Fax:
Practice Address - Street 1:12761 HARBOR BLVD STE I3
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-5854
Practice Address - Country:US
Practice Address - Phone:714-539-3122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
CALCSW1145681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical