Bongjoo J Hwang, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY30203 Issued in CA

Practice address

5830 Oberlin Dr Ste 204
San Diego, CA 92121-3754

Phone

(619) 786-7631

NPI assigned

Jun 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bong Joo Hwang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1871856963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3682 VIA BERNARDO",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920567230",
            "telephone_number": "619-786-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 OBERLIN DR STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213754",
            "telephone_number": "619-786-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "BONGJOO",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONG JOO",
            "last_name": "HWANG",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vu Quang Huynh, M.D.
• Juliette Marie Hvistendahl
• Karen Ann Hvizdzak, NP
• Alison Hwang
• Benjamin Hwang, DDS
• David H Hwang
• Eunhseo Hwang
• Faith Hwang
• Gloria Wen-Song Hwang, M.D.
• Ha Lyoung Hwang

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.