Individual
ELIZABETH KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
205442
CA
208000000X
Pediatrics Physician
ML61445722
WA
208000000X
Pediatrics Physician
MT221095
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2020
Last updated
10/21/2025
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