JINSOOK KWACK FNP NPI 1740721869

NPI Information

  • NPI: 1740721869
  • Provider Name: JINSOOK KWACK, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2621 W GRAND AVE
    ALHAMBRA, CA
    ZIP 91801
  • Phone: (949) 463-8352

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NPI Details

Jinsook Kwack, FNP is a family nurse practitioner in Alhambra, CA. Jinsook Kwack, FNP NPI is 1740721869. 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:

2621 W GRAND AVE
ALHAMBRA, CA
ZIP 91801-636
Phone: (949) 463-8352

The NPI 1740721869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Removal of muscle and/or tissue, each additional 20.0 sq cm or less (HCPCS:11046)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • New patient home visit, typically 45 minutes (HCPCS:99343)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.

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
1363LF0000XNurse PractitionerFamily95005934CALIFORNIAYes

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: 11/21/2025

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