Organization
EDWARD KWON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD S KWON M.D. (PRESIDENT)
(626) 768-4415
Entity
Organization
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-5000
Mailing address
35 E GLENARM ST, PASADENA, CA 91105-3418
(626) 768-4415
(626) 403-0321
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
A120642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A120642
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
08/10/2015
Last updated
08/10/2015
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