Organization
ERNA KWONG M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNA MAE KWONG M.D. (PRESIDENT)
(213) 961-3791
Entity
Organization
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 782-6600
(818) 904-3774
Mailing address
101 S 1ST ST, 1000, BURBANK, CA 91502-1938
(818) 845-6206
(818) 845-9774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C409740
BLUE SHIELD
CA
05
—
00C409740
—
CA
Enumeration date
08/05/2006
Last updated
08/22/2020
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