Healthcare Provider Details

I. General information

NPI: 1154518819
Provider Name (Legal Business Name): JEFFREY KWAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 E HUNTINGTON DR STE 119
ARCADIA CA
91006-3788
US

IV. Provider business mailing address

411 E HUNTINGTON DR STE 119
ARCADIA CA
91006-3788
US

V. Phone/Fax

Practice location:
  • Phone: 626-888-1773
  • Fax:
Mailing address:
  • Phone: 626-888-1773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 30676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: