Search › California › 171100000X
Myung Kwak
NPI 1497346860 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1421 12th Ave
Los Angeles, CA 90019 - Phone
- (213) 344-8477
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-28
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