Individual
DR. THEODORE H KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9042 GARDEN GROVE BLVD, 299, GARDEN GROVE, CA 92844-1370
(714) 590-0001
(714) 590-0007
Mailing address
PO BOX 1557, LA MIRADA, CA 90637-1557
(213) 300-0010
(714) 590-0007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A35852
CA
208D00000X
General Practice Physician
Primary
A35852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A358520
MOST INSURANCE CO
CA
05
—
00A358520
—
CA
01
—
A35852
MOST INSURANCE CO
CA
Enumeration date
07/14/2006
Last updated
11/05/2008
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