Organization
BETHESDA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE H KWON MD (PRESIDENT)
(213) 300-0010
Entity
Organization
Contact information
Practice address
137 S KNOTT AVE, ANAHEIM, CA 92804-1406
(714) 484-9000
(714) 484-9019
Mailing address
PO BOX 1557, LA MIRADA, CA 90637-1557
(213) 300-0010
(714) 484-9019
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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