Organization
JULIE YOU KWON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KWON (PRESIDENT/DIRECTOR)
(310) 843-1904
Entity
Organization
Contact information
Practice address
932 S CLOVERDALE AVE, LOS ANGELES, CA 90036-4817
(310) 843-1904
Mailing address
932 S CLOVERDALE AVE, LOS ANGELES, CA 90036-4817
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142879
MEDICAL LICENSE
CA
Enumeration date
05/11/2017
Last updated
05/11/2017
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