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Search › California › 183500000X

Kevin Kwak

NPI 1457120461 · on the registry since 2024

Practice

Address
3705 E South St
Long Beach, CA 90805
Phone
(424) 296-6525
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California