Kwon, Young Jae
Kwon, Young Jae is an sole proprietor health care provider with primary practice located at 1040 Elm Ave Ste 301 , Long Beach CA 90813-3267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kwon, Young Jae can be contacted via phone (562) 435-4777.Contact Information
Primary practice address
1040 Elm Ave Ste 301
Long Beach CA 90813-3267
Phone: (562) 435-4777
Fax: (562) 435-3947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A37514 | California |
Profile Details
| NPI number | 1225191505 |
|---|---|
| LBN Legal business name | Kwon, Young Jae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jan 30th, 2024 - about 11 months 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 | 1225191505 | NPPES |
| California | MEDICAID | 00A375140 |
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