Individual
WILSON KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2841 LOMITA BLVD STE 100, TORRANCE, CA 90505-5100
(310) 257-0508
(323) 226-2657
Mailing address
2841 LOMITA BLVD STE 100, TORRANCE, CA 90505-5100
(310) 257-0508
(323) 226-2657
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A151616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WK3232267556
—
CA
Enumeration date
04/29/2016
Last updated
07/13/2022
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