David Sung Kwon, MD | |
111 N Sepulveda Blvd, #210, Manhattan Beach, CA 90266-6861 | |
(310) 379-2134 | |
Not Available |
Full Name | David Sung Kwon |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 111 N Sepulveda Blvd, Manhattan Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245388271 | NPI | - | NPPES |
00A901010 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A90101 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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David Sung Kwon, MD Po Box 660640, Arcadia, CA 91066-0640 Ph: (626) 447-0296 | David Sung Kwon, MD 111 N Sepulveda Blvd, #210, Manhattan Beach, CA 90266-6861 Ph: (310) 379-2134 |
Gregor Mciver, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 836 14th St, Manhattan Beach, CA 90266 Phone: 310-346-9422 | |
Peter James Bloomfield, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 229 16th St, Manhattan Beach, CA 90266 Phone: 310-218-7002 | |
Dr. Albert Tuong-quang Nguyen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1467 6th St, Manhattan Beach, CA 90266 Phone: 909-528-7026 | |
Sandra Isnasious, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3215 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 424-295-0540 | |
Jose L Cervantes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 N Sepulveda Blvd, #543, Manhattan Beach, CA 90266 Phone: 424-217-3227 | |
Andrea W Wu, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 N Sepulveda Blvd, Suite 210, Manhattan Beach, CA 90266 Phone: 310-379-2134 |