# SANDRA S. KWAK, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528298700
- **Authorized official:** DR. SANDRA SOOHYUN KWAK M.D. (PRESIDENT)
- **Authorized official phone:** (949) 645-8800

## Contact information

- **Practice address:** 520 SUPERIOR AVE STE 310, NEWPORT BEACH, CA 92663-3667
- **Practice address phone:** (949) 645-8800
- **Practice address fax:** (949) 645-8844
- **Mailing address:** PO BOX 28884, BELFAST, ME 04915-2040
- **Mailing address phone:** (949) 665-8800
- **Mailing address fax:** (949) 665-8844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A88895 | CA | Yes |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 08/10/2021