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Individual

MARY R KWAAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., M.P.H.

Contact information

Practice address
200 UCLA MEDICAL PLZ STE 214, LOS ANGELES, CA 90095-0341
(310) 794-7788
(310) 794-4337
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C154058
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
C154058
CA

Other

Enumeration date
12/02/2006
Last updated
12/26/2019
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