Justin Ducksin Hwang, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35273 Issued in CA

Practice address

3352 W Olympic Blvd
Los Angeles, CA 90019-2320

Phone

(323) 732-5500

Fax

(323) 732-6500

NPI assigned

Feb 28, 2007

Last updated

Oct 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Justin D Hwang DDS Inc

  dba Town Dental Group

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1215134226
  Medicare reassignment NPD Authorized official
• Justin D. Hwang, DDS, Inc

  dba Dr. Justin Dental Group

  • General Practice Dentistry
  • Huntington Park, CA
  • NPI 1508061524
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1568599165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192320",
            "telephone_number": "323-732-5500",
            "fax_number": "323-732-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3352 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192320",
            "telephone_number": "323-732-5500",
            "fax_number": "323-732-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "JUSTIN",
        "middle_name": "DUCKSIN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D35273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Kyle Hwang, MD
• Judy Hwang, ACSW
• Julie Ann Hwang, M.A.
• Julie M. Hwang, MD
• Jung Bae Hwang, LA.C
• Keith Ki Chan Hwang, SUPPORT SPECIALIST
• Kelly Hwang, MFT
• Kent Ki Sik Hwang, DDS
• Kevin Hwang
• Kuangheng Hwang, LMFT

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.