Organization
LEO W KWAN MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH SIGMAN (MANAGER)
(949) 588-2190
Entity
Organization
Contact information
Practice address
101 EAST VALENCIA, FULLERTON, CA 92835-2568
(949) 588-2190
(949) 588-2199
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A23356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A33560
—
CA
Enumeration date
06/25/2007
Last updated
10/17/2007
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