Individual
CHAE YOUNG KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1832 ALPINE BLVD, ALPINE, CA 91901-2107
(619) 326-4445
Mailing address
PO BOX 211982, CHULA VISTA, CA 91921-1982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61920
CA
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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