Individual
ELAINE SEONOG KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2380 IRVING ST, SAN FRANCISCO, CA 94122-1621
(415) 566-8199
(415) 566-8198
Mailing address
2380 IRVING ST, SAN FRANCISCO, CA 94122-1621
(415) 566-8199
(415) 566-8198
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
11788T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16524
MES
CA
01
—
72-1584284
FEIN
CA
Enumeration date
03/17/2007
Last updated
02/18/2014
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