Individual
MIMMIE KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4860 Y ST STE 2100, SACRAMENTO, CA 95817-2307
(916) 734-3800
(916) 734-3801
Mailing address
2335 STOCKTON BLVD., 6TH FLOOR, NORTH ADDITION OFFICE BUILDING, SACRAMENTO, CA 95817-1418
(916) 734-2028
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A140004
CA
Other
Enumeration date
05/01/2013
Last updated
10/07/2019
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