Organization Name: | YOON T. KWON M.D., INC |
NPI Number: | 1548484926 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YOON T KWON (PRESIDENT) |
Mailing Address: | 1100 Sir Francis Drake Blvd Ste 2 Kentfield |
State: | CA US |
Postal Code: | 949041419 |
Phone Number: | 4154594601 |
Fax Number: | 4154594607 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |