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HAILEY H HWANGBO NP
NPI 1891776357
Nurse Practitioner in Montebello, CA

Active since November 10, 2005PECOS Enrolled
433 N 4TH ST STE 208, MONTEBELLO, CA 90640(323) 201-4130(323) 201-4134 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2021, Oct 19, 2020 (2 updates tracked since 2020).

About Hailey H Hwangbo Np NPPES

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

HAILEY H HWANGBO NP (NPI 1891776357) is an individual nurse practitioner in Montebello, California, licensed in California (NP15839) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891776357
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHAILEY H HWANGBOCredential: NP
Location Address433 N 4TH ST STE 208Montebello, CA 90640-4309
Mailing Address433 N 4th St Ste 208Montebello, CA 90640-4309 · (323) 201-4130 · Fax (323) 201-4134
Phone(323) 201-4130
Fax(323) 201-4134
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1891776357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP15839
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
433 N 4TH ST STE 208, Montebello, CA 90640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey H Hwangbo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

ADAM CHRISTOPHER BRAVO
Physical Therapist
433 N 4TH ST STE 208
MONTEBELLO, CA 90640
Los Angeles County (818) 561-7707
DR. ARDAVAN MAKAREMI PT, DPT
Physical Therapist
433 N 4TH ST STE 208
MONTEBELLO, CA 90640
Los Angeles County (323) 246-4616
KATHERINE CHOI
Physical Therapist
433 N 4TH ST STE 208
MONTEBELLO, CA 90640
Los Angeles County (818) 561-7707
AUSTIN CANYON COLLINS
Physical Therapist
433 N 4TH ST STE 208
MONTEBELLO, CA 90640
Los Angeles County (818) 561-7707

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 Hailey Hwangbo's NPI number?

The NPI number for Hailey Hwangbo is 1891776357. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Hailey Hwangbo located?

Hailey Hwangbo practices at 433 N 4th St Ste 208, Montebello, CA 90640. The listed phone number is (323) 201-4130.

What is Hailey Hwangbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Hailey Hwangbo enrolled in Medicare?

Yes. Hailey Hwangbo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hailey Hwangbo was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.