Individual
ELISE JUNG-MIN KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19950 RINALDI ST, PORTER RANCH, CA 91326-4141
(818) 403-2420
(818) 360-6036
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5691
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A83539
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A835390
—
CA
Enumeration date
07/05/2006
Last updated
04/03/2014
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