SOON KWAK M.D. NPI 1235547662

NPI Information

NPI: 1235547662
Provider Name: SOON KWAK, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
806 TEAKWOOD RD
LOS ANGELES, CA
ZIP 90049
Phone: (310) 476-8212
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Soon Kwak, M.D. is a general practice in Los Angeles, CA. Soon Kwak, M.D. NPI is 1235547662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

806 TEAKWOOD RD
LOS ANGELES, CA
ZIP 90049-330
Phone: (310) 476-8212

The enumeration date for this NPI number is 7/29/2014 and was last updated on 7/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A29868	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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