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Carol Kwak, PA-C
NPI 1891303293 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3550 E Philadelphia St Ste 150
Ontario, CA 91761 - Phone
- (909) 773-0022
- Organisation at this address
- Wu & Diaz Professional Corp
Providence Physical Therapy, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 10900 Euclid Ave, Cleveland, OH
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-06
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