Individual
LOUIS MATTHEW KWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W CARSON ST RM 4L1, TORRANCE, CA 90502-2004
(424) 306-7874
(310) 533-2211
Mailing address
1000 W CARSON ST # 422, TORRANCE, CA 90502-2059
(424) 306-7874
(310) 533-2211
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
G55440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G55440
MEDICARE PTAN
CA
Enumeration date
11/07/2006
Last updated
09/12/2019
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