Kwak, Jane

Kwak, Jane is an individual health care provider with primary practice located at 17730 Lassen St Apt 318 , Northridge CA 91325-4771. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kwak, Jane can be contacted via phone (626) 404-4250.

Contact Information

Primary practice address
17730 Lassen St Apt 318 Northridge CA 91325-4771
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86048210 California

Profile Details

NPI number 1851174908
LBN Legal business name Kwak, Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2023
Last updated Aug 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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