Ellen Marie Kwon

LBN: Ellen Miller Kwon, Psyd
Ellen Marie Kwon is an health care organization with primary practice located at 65 N Madison Ave Suite 405, Pasadena CA 91101-2035. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Ellen Miller Kwon, Psyd can be contacted via phone (626) 807-5451, or through Kwon, Ellen Marie via phone (626) 807-5451.

Contact Information

Primary practice address
65 N Madison Ave Suite 405 Pasadena CA 91101-2035
Phone: (626) 807-5451
Fax: (626) 395-7751
Website:
Map and Directions
Authorized official contact:
Name: Kwon, Ellen Marie PSY,D,
Phone: (626) 807-5451

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 24302 California

Profile Details

NPI number 1356771315
LBN Legal business name Ellen Miller Kwon, Psyd
DBA Doing business as Ellen Marie Kwon
Authorized official Kwon, Ellen Marie PSY,D,
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2013
Last updated Nov 12th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356771315 NPPES
California Other 1376741884 INDIVIDUAL NPI
California Other 24302 INDIVIDUAL NPI

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