MEDICARE: ARLENE GWON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	G22586	CA

General Provider Information

NPI Number	:	1114090537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLENE GWON MD

Provider Business Mailing Address
First Line	:	8 TRAFALGAR
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-6830
Country	:	US
Telephone Number	:	949-760-6280
Fax Number	:	949-640-6660

Provider Business Practice Location Address
First Line	:	8 TRAFALGAR
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-6830
Country	:	US
Telephone Number	:	949-640-8620
Fax Number	:	949-640-6660

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	04/23/2014

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