Individual
MATTHEW KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 9TH ST STE 205, OAKLAND, CA 94607-4478
(510) 268-1118
Mailing address
212 9TH ST STE 205, OAKLAND, CA 94607-4478
(510) 268-1118
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A153027
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2016
Last updated
07/08/2019
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