| Soon Yull Kwun,m.d.,inc | |
|
3131 Santa Anita Ave 105 El Monte CA 91733-1369 | |
| (626) 442-2151 | |
| (626) 442-1666 |
| Full Name | Soon Yull Kwun,m.d.,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3131 Santa Anita Ave, El Monte, California |
| Authorized Official Name and Position | Soon Yull Kwun (PRESIDENT) |
| Authorized Official Contact | 6264422151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soon Yull Kwun,m.d.,inc 3131 Santa Anita Ave 105 El Monte CA 91733-1369 Ph: (626) 442-2151 | Soon Yull Kwun,m.d.,inc 3131 Santa Anita Ave 105 El Monte CA 91733-1369 Ph: (626) 442-2151 |
| NPI Number | 1912215435 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 09/17/2010 |
| Medicare PECOS PAC ID | 9133311558 |
|---|---|
| Medicare Enrollment ID | O20101004001240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912215435 | NPI | - | NPPES |
| 00A330480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Soon Y Kwun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700812211 PECOS PAC ID: 1153513585 Enrollment ID: I20101004001356 |
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