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Individual

SOON KWAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
806 TEAKWOOD RD, LOS ANGELES, CA 90049-1330
(310) 476-8212
Mailing address
122 WEST ST, UNIT 4I, BROOKLYN, NY 11222-1970
(917) 588-1505

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A29868
CA

Other

Enumeration date
07/29/2014
Last updated
07/29/2014
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