Individual
DEREK SOON KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
731 N EUCLID ST, ANAHEIM, CA 92801-4116
(714) 533-8240
Mailing address
731 N EUCLID ST, ANAHEIM, CA 92801-4116
(714) 533-8240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11681T
CA
Other
Enumeration date
11/02/2006
Last updated
08/12/2021
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