# OHMIN KWON MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OHMIN KWON MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740964170
- **Authorized official:** OHMIN KWON MD (OWNER)
- **Authorized official phone:** (310) 970-4481

## Contact information

- **Practice address:** 5652 E BASELINE RD, MESA, AZ 85206-4713
- **Practice address phone:** (310) 970-4481
- **Practice address fax:** (948) 356-8192
- **Mailing address:** 24 W CAMELBACK RD STE A330, PHOENIX, AZ 85013-2529
- **Mailing address phone:** (310) 970-4481
- **Mailing address fax:** (948) 356-8192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2023
- **Last updated:** 06/14/2023