Individual
EDWARD KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 MARENGO STREET, IPI, C52100, LOS ANGELES, CA 90033-1029
(323) 409-7761
(323) 441-9909
Mailing address
510S HEWITT ST 406, LOS ANGELES, CA 90013-1659
(646) 702-7609
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
A120642
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2010
Last updated
09/16/2015
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