# LARRY W. KWAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134215817
- **Gender:** Man
- **Credential:** M.D. , PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0000X | Hematology (Internal Medicine) Physician | G55439 | CA | Yes |
| 207RX0202X | Medical Oncology Physician | G55439 | CA | — |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 11/11/2020