Organization
ERNA KWONG, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNA M. KWONG M.D. (PRESIDENT)
(310) 440-3131
Entity
Organization
Contact information
Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 370-4521
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
(310) 472-9582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C40974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C409741
—
CA
Enumeration date
08/16/2006
Last updated
08/22/2020
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