Individual
DR. HYOUNGTAE EDWARD KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-5511
Mailing address
7316 SANTA MONICA BLVD APT 329, WEST HOLLYWOOD, CA 90046-6676
(484) 557-9974
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A179499
CA
Other
Enumeration date
04/12/2016
Last updated
07/10/2023
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