Jae Wook Kwon, DO | |
2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | |
(562) 346-2222 | |
(562) 546-8210 |
Full Name | Jae Wook Kwon |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2110 N Bellflower Blvd, Long 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 |
---|---|---|---|
1558624957 | NPI | - | NPPES |
1558624957 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D01985 (Nevada) | Secondary |
207Q00000X | Family Medicine | 20A16207 (California) | Primary |
Entity Name | Southwest Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102 |
Entity Name | Intermountain Medical Holdings Nevada Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245997279 PECOS PAC ID: 7416054622 Enrollment ID: O20220214001765 |
Mailing Address | Practice Location Address |
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Jae Wook Kwon, DO 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 Ph: (562) 346-2222 | Jae Wook Kwon, DO 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 Ph: (562) 346-2222 |
Samantha Mohammad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 450 E Spring St Ste 1, Long Beach, CA 90806 Phone: 562-933-0050 Fax: 562-933-0079 | |
Connie Anne Yu, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 E 28th St Ste 401, Long Beach, CA 90806 Phone: 562-426-2662 Fax: 562-426-2665 | |
Shana Jordan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 Chestnut Ave, Long Beach, CA 90813 Phone: 562-599-8601 Fax: 562-218-0853 | |
Jeffrey Barbosa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 Chestnut Ave, Long Beach, CA 90813 Phone: 562-599-8601 Fax: 562-218-0853 | |
Dr. John Philip Hoehn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5844 E Barbanell St, Long Beach, CA 90815 Phone: 562-420-7721 Fax: 562-420-7721 | |
Dr. Elsa R Garcia, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2597 Pine Ave Ste B, Long Beach, CA 90806 Phone: 562-981-1400 | |
Dr. Michael James Miech, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6301 Marina Pacifica Dr S, Long Beach, CA 90803 Phone: 562-430-0208 |