Kwon, David Sung

Kwon, David Sung is an individual health care provider with primary practice located at 111 N Sepulveda Blvd #210, Manhattan Beach CA 90266-6861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kwon, David Sung can be contacted via phone (310) 379-2134.

Contact Information

Primary practice address
111 N Sepulveda Blvd #210 Manhattan Beach CA 90266-6861
Phone: (310) 379-2134
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A90101 California

Profile Details

NPI number 1245388271
LBN Legal business name Kwon, David Sung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Dec 2nd, 2021 - 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 1245388271 NPPES
California MEDICAID 00A901010

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