Kwon, Theodore H

Kwon, Theodore H is an sole proprietor health care provider with primary practice located at 9042 Garden Grove Blvd 299, Garden Grove CA 92844-1370. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Kwon, Theodore H can be contacted via phone (714) 590-0001.

Contact Information

Primary practice address
9042 Garden Grove Blvd 299 Garden Grove CA 92844-1370
Phone: (714) 590-0001
Fax: (714) 590-0007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A35852 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A35852 California

Profile Details

NPI number 1760408470
LBN Legal business name Kwon, Theodore H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Nov 5th, 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 1760408470 NPPES
California Other 00A358520 MOST INSURANCE CO
California MEDICAID 00A358520 MOST INSURANCE CO
California Other A35852 MOST INSURANCE CO

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