Individual
ANGIE KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 W 8TH ST, STE#208, LOS ANGELES, CA 90057-4019
(213) 344-8477
Mailing address
2120 W 8TH ST, STE#208, LOS ANGELES, CA 90057-4019
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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