Annette Hwangbo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW88518 Issued in CA

Practice address

14241 Firestone Blvd Ste 400
La Mirada, CA 90638-5534

Phone

(562) 542-6643

NPI assigned

Dec 27, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1912610734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13337 SOUTH ST # 622",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037308",
            "telephone_number": "562-716-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 FIRESTONE BLVD STE 400",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385534",
            "telephone_number": "562-542-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANGBO",
        "first_name": "ANNETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW88518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Lynette Humphrey, DC
• Jamie Kehaulani Humphries Widger, PA-C
• Allison Ran Hur, PHARMD
• Hee Hur
• Sora Hwang
• Chiagoziem Igweze, RN
• Olisaemeka Arinzechukwu Igweze
• Imperial Primary Care Medical Group
• Intercommunity Dialysis Center-la Mirada
• J & S Management Services LLC

• Clinical Social Worker in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.