Active NPI
Eunice Youeun Hwang, D.D.S.
- Pediatric Dentistry
- Los Angeles, CA
National Provider Identifier
1902268600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 62240
- Practice address
- 10833 Le Conte Ave
UCLA School of Dentistry- Pediatrics
Los Angeles, CA 90095-3075 - Phone
- (818) 399-3708
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 62240 | CA | Primary |
Addresses
Primary practice location
10833 Le Conte Ave
UCLA School of Dentistry- Pediatrics
Los Angeles, CA 90095-3075
Mailing address
948 Dahlia PL
Beaumont, CA 92223-7807
Phone (818) 399-3708
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170606002770 | CA | Order and Referring Only - Other (Physician) | 4183991540 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1902268600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "948 DAHLIA PL",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922237807",
"telephone_number": "818-399-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE",
"address_2": "UCLA SCHOOL OF DENTISTRY- PEDIATRICS",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953075",
"telephone_number": "818-399-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "EUNICE",
"middle_name": "YOUEUN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "62240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.