Individual
ANDREW MATTHEW KWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
611 BROADWAY, SAN FRANCISCO, CA 94133-4405
(415) 982-0388
Mailing address
3358 ASHBOURNE CIR, SAN RAMON, CA 94583-9113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35272TLG
CA
Other
Enumeration date
04/22/2021
Last updated
10/03/2022
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