Individual
IAN AMIEL KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1700 S AMPHLETT BLVD STE 120, SAN MATEO, CA 94402-2711
(650) 483-7799
Mailing address
1700 S AMPHLETT BLVD STE 120, SAN MATEO, CA 94402-2711
(650) 483-7799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95399683
CA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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