Individual
JUNG HA KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 267-7737
Mailing address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
688261
CA
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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