Individual
SHERYL KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9961 SIERRA AVE, MEDICAL STAFF OFFICE, FONTANA, CA 92335-6720
(909) 427-6163
Mailing address
9961 SIERRA AVE, MEDICAL STAFF OFFICE, FONTANA, CA 92335-6720
(909) 427-6163
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A139253
CA
208600000X
Surgery Physician
BP10031148
TX
Other
Enumeration date
02/12/2009
Last updated
11/29/2021
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