Individual
MEEAE Y KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 952-5324
(805) 643-8511
Mailing address
PO BOX 6459, VENTURA, CA 93006-6459
(800) 610-4519
(805) 978-5782
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A63941
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A639410
—
CA
Enumeration date
09/12/2005
Last updated
12/21/2016
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