Kwon, Jin

Kwon, Jin is an individual health care provider with primary practice located at 3324 Chanate Rd , Santa Rosa CA 95404-1708. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kwon, Jin can be contacted via phone (707) 576-4070.

Contact Information

Primary practice address
3324 Chanate Rd Santa Rosa CA 95404-1708
Phone: (707) 576-4070
Fax: (707) 576-4087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D79192 Maryland

Profile Details

NPI number 1346446796
LBN Legal business name Kwon, Jin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Jan 13th, 2023 - about 2 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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