MEDICARE: DR. CLAUDIA M KWON M D

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	207T00000X	Neurological Surgery Physician	A91134	CA

General Provider Information

NPI Number	:	1740416734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDIA M KWON M D

Provider Business Mailing Address
First Line	:	16705 HAWTHORNE BLVD
Second Line	:
City	:	LAWNDALE
State	:	CA
Zip	:	90260-3244
Country	:	US
Telephone Number	:	310-370-2577
Fax Number	:	310-371-0747

Provider Business Practice Location Address
First Line	:	16705 HAWTHORNE BLVD
Second Line	:
City	:	LAWNDALE
State	:	CA
Zip	:	90260-3244
Country	:	US
Telephone Number	:	310-370-2577
Fax Number	:	310-371-0747

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

Provider Enumeration Date	:	06/03/2009
Last Update Date	:	06/03/2009

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