Individual
RILEY JAMISON KWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 HARVEY WEST BLVD, SANTA CRUZ, CA 95060-2103
(831) 425-8132
Mailing address
300 HARVEY WEST BLVD, SANTA CRUZ, CA 95060-2103
(831) 425-8132
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
11/14/2023
Last updated
04/21/2025
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