Kwon, Theodore H
Kwon, Theodore H is an sole proprietor health care provider with primary practice located at 9042 Garden Grove Blvd 299, Garden Grove CA 92844-1370. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Kwon, Theodore H can be contacted via phone (714) 590-0001.Contact Information
Primary practice address
9042 Garden Grove Blvd 299
Garden Grove CA 92844-1370
Phone: (714) 590-0001
Fax: (714) 590-0007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A35852 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A35852 | California |
Profile Details
| NPI number | 1760408470 |
|---|---|
| LBN Legal business name | Kwon, Theodore H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Nov 5th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760408470 | NPPES |
| California | Other | 00A358520 | MOST INSURANCE CO |
| California | MEDICAID | 00A358520 | MOST INSURANCE CO |
| California | Other | A35852 | MOST INSURANCE CO |
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