Kwon, Kenneth T

Kwon, Kenneth T is an sole proprietor health care provider with primary practice located at 27700 Medical Center Rd , Mission Viejo CA 92691-6426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kwon, Kenneth T can be contacted via phone (949) 364-1400.

Contact Information

Primary practice address
27700 Medical Center Rd Mission Viejo CA 92691-6426
Phone: (949) 364-1400
Fax: (949) 365-4941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G80161 California

Profile Details

NPI number 1851319503
LBN Legal business name Kwon, Kenneth T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jun 27th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851319503 NPPES
California MEDICAID 00G801610

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