Individual
JOSEPH KWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 15TH ST, SANTA MONICA, CA 90404-1802
(323) 648-1396
Mailing address
3000 S ROBERTSON BLVD STE 497, LOS ANGELES, CA 90034-3158
(323) 648-1396
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A139386
CA
Other
Enumeration date
04/06/2014
Last updated
12/06/2021
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