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Organization
WK MD MEDICAL GROUP INC
Active
Organization
WK MD MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER KWOCK MD (CEO)
(323) 662-4222
Entity
Organization
Contact information
Practice address
1711 W TEMPLE ST, LOS ANGELES, CA 90026-5421
(323) 662-4222
Mailing address
1711 W TEMPLE ST, LOS ANGELES, CA 90026-5421
(323) 662-4222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A21085
CA
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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