Active NPI
Olive Tree Nursing Corporation
- Internal Medicine Physician
- Lemon Grove, CA
National Provider Identifier
1194698043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OLIVE TREE NURSING CORPORATION
- Practice address
- 7227 Broadway Ste 405
Lemon Grove, CA 91945-1505 - Phone
- (213) 663-8836
- NPI assigned
- Sep 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yohan Han Hwang
- Title
- Ceo
- Phone
- (213) 663-8836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
7227 Broadway Ste 405
Lemon Grove, CA 91945-1505
Mailing address
1208 Corte Mendi
Chula Vista, CA 91913-3547
Phone (213) 663-8836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7227 Broadway
Ste 405
Lemon Grove, CA 91945
Phone (213) 663-8836
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Escondido, CA
- NPI 1174918585
-
- Family Nurse Practitioner
- Bonsall, CA
- NPI 1831872357
-
- Family Nurse Practitioner
- Chula Vista, CA
- NPI 1609515642
-
- Family Nurse Practitioner
- San Diego, CA
- NPI 1386112597
-
- Emergency Medicine Physician
- Chula Vista, CA
- NPI 1548270200
-
- Family Nurse Practitioner
- La Mesa, CA
- NPI 1053735019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760486400000",
"number": "1194698043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 CORTE MENDI",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919133547",
"telephone_number": "213-663-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7227 BROADWAY STE 405",
"city": "LEMON GROVE",
"state": "CA",
"postal_code": "919451505",
"telephone_number": "213-663-8836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVE TREE NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-26",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A",
"authorized_official_last_name": "HWANG",
"authorized_official_first_name": "YOHAN",
"authorized_official_middle_name": "HAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-663-8836"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lemon Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.