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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

YIRYE HWANGBO PA
NPI 1124974308
Physician Assistant - Medical in Stockton, CA

Active since March 09, 2026
6940 PACIFIC AVE, STOCKTON, CA 95207(209) 477-4817 Get Directions Write a Review

NPPES record last updated: October 25, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Yirye Hwangbo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YIRYE HWANGBO PA (NPI 1124974308) is an individual medical provider in Stockton, California and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1124974308
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameYIRYE HWANGBOCredential: PA
Location Address6940 PACIFIC AVEStockton, CA 95207-2602
Mailing Address6940 Pacific AveStockton, CA 95207-2602 · (209) 477-4817
Phone(209) 477-4817
Sole ProprietorNo
Enumeration DateMarch 9, 2026
Last NPPES UpdateOctober 25, 2026
NPPES CertifiedOctober 25, 2026
✔ NPI 1124974308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
6940 PACIFIC AVE, Stockton, CA 95207
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WINDSOR ELMHAVEN CARE CENTER, LLC
Skilled Nursing Facility
6940 PACIFIC AVE
STOCKTON, CA 95207
San Joaquin County (209) 477-4817
JOSHUA RAMIREZ
Physical Therapy Assistant
6940 PACIFIC AVE
STOCKTON, CA 95207
San Joaquin County (209) 477-4817
JOHN NISPEROS
Physical Therapy Assistant
6940 PACIFIC AVE
STOCKTON, CA 95207
San Joaquin County (209) 477-4817
JOHNNY WILLIAMS-RAY DEFROE III OTR/L
Occupational Therapist
6940 PACIFIC AVE
STOCKTON, CA 95207
San Joaquin County (209) 477-4817
TORI YVONNE COOKE PTA
Physical Therapy Assistant
6940 PACIFIC AVE
STOCKTON, CA 95207
San Joaquin County (209) 477-4817
HELIOS HEALTHCARE, LLC
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
6940 PACIFIC AVE
STOCKTON, CA 95207
San Joaquin County (209) 477-4817
MS. VICTORIA K JOE OTR/L
Occupational Therapist
6940 PACIFIC AVE
STOCKTON, CA 95207
San Joaquin County (209) 477-4817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yirye Hwangbo's NPI number?

The NPI number for Yirye Hwangbo is 1124974308. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Yirye Hwangbo located?

Yirye Hwangbo practices at 6940 Pacific Ave, Stockton, CA 95207. The listed phone number is (209) 477-4817.

What is Yirye Hwangbo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Yirye Hwangbo was last updated on October 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.