Individual provider · Type 1 NPI

Jason Yeu Kwak

Student in an Organized Health Care Education/Training Program · Concord, CA

NPI number 1780892224 Active

Practice location

1333 Willow Pass Road, Suite 102
Concord, CA 94520

Mailing address

2635 Lancaster Drive, Apartment H14
Richmond, CA 94806

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

Other student in an organized health care education/training program providers in Concord

See all in Concord →

About NPI 1780892224

Jason Yeu Kwak's National Provider Identifier is 1780892224, issued on May 18, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Concord, CA. The record was last updated on Jul 8, 2007.