# DR. THEODORE H KWON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760408470
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A35852 | CA | — |
| 208D00000X | General Practice Physician | A35852 | CA | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 11/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00A358520 | MOST INSURANCE CO | CA |
| 05 | — | 00A358520 | — | CA |
| 01 | — | A35852 | MOST INSURANCE CO | CA |