Hailey H Hwangbo, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP15839 Issued in CA

Practice address

433 N 4TH St Ste 208
Montebello, CA 90640-4309

Phone

(323) 201-4130

Fax

(323) 201-4134

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hhwangbo1372998@oc.providencedirect.org

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.

• Providence Medical Foundation

  • General Practice Physician
  • Diamond Bar, CA
  • NPI 1285890624
  NPD
• Caremore Medical Group Inc

  • Family Medicine Physician
  • Cerritos, CA
  • NPI 1760435705
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1891776357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST STE 208",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404309",
            "telephone_number": "323-201-4130",
            "fax_number": "323-201-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST STE 208",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404309",
            "telephone_number": "323-201-4130",
            "fax_number": "323-201-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANGBO",
        "first_name": "HAILEY",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP15839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhwangbo1372998@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "100 E Valencia Mesa Dr Ste 311",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928353800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine Huang, O.D.
• Johnny Chong Huang, D.P.M.
• Sheng Hao Huang, DDS
• Kyung Ok Kim Huh, M.D.
• Jennifer H. Hung, MD.
• Hyderali M Mukadam MD
• Liliane Idylle, D.O.
• Iftikhar a. Khan M.D., Inc.
• Dale David Inouye, D.D.S.
• Internal Medicine MDS Corp

• Nurse Practitioner in Montebello, CA
• Providers in Montebello, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.