Kwon, Young Jo
Kwon, Young Jo is an individual health care provider with primary practice located at 1030 W. Warner Ave , Santa Ana CA 92707-6809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kwon, Young Jo can be contacted via phone (714) 834-6900.Contact Information
Primary practice address
1030 W. Warner Ave
Santa Ana CA 92707-6809
Phone: (714) 834-6900
Fax: (714) 850-1066
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301038509 | Michigan |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C131706 | California |
Profile Details
NPI number | 1740229509 |
---|---|
LBN Legal business name | Kwon, Young Jo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Jan 15th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740229509 | NPPES |
Michigan | MEDICAID | 160070510 |
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