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Individual

DR. CARL KWONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1937-A TULLY RD, SAN JOSE, CA 95122
(408) 923-0400
(408) 923-3303
Mailing address
PO BOX 31903, SAN FRANCISCO, CA 94131-0903
(415) 823-1199
(408) 923-3303

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8769T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
533381
OE
05
SD0087690
CA
Enumeration date
03/31/2006
Last updated
07/08/2011
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