Individual provider · Type 1 NPI
Soon Kwak, MD
General Practice Physician · Los Angeles, CA
NPI number
1235547662
Active
Practice location
806 Teakwood Rd
Los Angeles, CA 90049-1330
Mailing address
122 West St, Unit 4I
Brooklyn, NY 11222-1970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A29868 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1235547662
Soon Kwak, MD's National Provider Identifier is 1235547662, issued on Jul 29, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 29, 2014.