Healthcare Provider Details

I. General information

NPI: 1487977005
Provider Name (Legal Business Name): KAY MAY KWOK MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 03/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 LOMITA BLVD STE 607
TORRANCE CA
90505-4801
US

IV. Provider business mailing address

PO BOX 3098
TORRANCE CA
90510-3098
US

V. Phone/Fax

Practice location:
  • Phone: 310-530-5965
  • Fax: 310-530-5008
Mailing address:
  • Phone: 310-792-3914
  • Fax: 855-898-4055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberA93475
License Number StateCA

VIII. Authorized Official

Name: DR. KAY MAY MADELEINE KWOK
Title or Position: PRESIDENT
Credential: MD
Phone: 310-530-5965