Kwak, Larry W.

Kwak, Larry W. is an individual health care provider with primary practice located at 1500 Duarte Rd , Duarte CA 91010-3012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Kwak, Larry W. can be contacted via phone (626) 256-4673.

Contact Information

Primary practice address
1500 Duarte Rd Duarte CA 91010-3012
Phone: (626) 256-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G55439 California
Allopathic & Osteopathic Physicians / Hematology 207RH0000X G55439 California

Profile Details

NPI number 1134215817
LBN Legal business name Kwak, Larry W.
Credentials M.D. , PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Nov 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134215817 NPPES
Texas MEDICAID 165889001
Texas Other P00170261
Texas Other 8M5590

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