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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1740229509 NPPES
Michigan MEDICAID 160070510

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