Individual provider Active NPI

Kyung Min Hwang, NP

  • Acute Care Nurse Practitioner
  • Inglewood, CA
National Provider Identifier
1467299685
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95031104 Issued in CA
Practice address
401 S la Brea Ave
Inglewood, CA 90301-2321
Phone
(310) 275-7575
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95031104 CA Primary

Addresses

Primary practice location

401 S la Brea Ave
Inglewood, CA 90301-2321

Mailing address

21500 Califa St Unit 102
Woodland Hills, CA 91367-4953
Phone (616) 350-8339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029000397 CA Practitioner - Nurse Practitioner 6901339019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joon Suh DO IncGroup PAC ID 3476999145, 7 clinicians
Beverly Hills Health IncGroup PAC ID 5092121251, 4 clinicians
Advanced Lung Center Medical Group Inc.Group PAC ID 4082508197, 8 clinicians

Practice addresses (Care Compare)

Laguna Hills, CA 92653
Phone (310) 922-2537

1131 Arizona Ave
Santa Monica, CA 90401-2009
Phone (310) 451-4800

1330 17TH St
Santa Monica, CA 90404-1902
Phone (562) 829-5411

1338 20TH St
Santa Monica, CA 90404-2034
Phone (310) 200-2800

2828 Pico Blvd
Santa Monica, CA 90405-1920
Phone (310) 450-7694

401 S la Brea Ave
Inglewood, CA 90301-2321
Phone (310) 275-7575

5044 Buffington Rd
El Monte, CA 91732-1466
Phone (626) 443-1351

9200 W Pico Blvd
Los Angeles, CA 90035-1319
Phone (310) 274-9500

Hospital & facility affiliations

  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • College Medical Center Hospital, Long Beach, CA, CCN 050776
  • Kaiser Foundation Hospital - West la Hospital, Los Angeles, CA, CCN 050561
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031104CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Lung Center Medical Group Inc. CurrentSince Aug 8, 2024 Accepting new patients

Locations

401 S La Brea Ave
Inglewood, CA 90301
Phone (310) 275-7575

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1467299685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21500 CALIFA ST UNIT 102",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674953",
            "telephone_number": "616-350-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012321",
            "telephone_number": "310-275-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "KYUNG MIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95031104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.