Healthcare Provider Details

I. General information

NPI: 1740416734
Provider Name (Legal Business Name): CLAUDIA M KWON M D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2009
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4305 TORRANCE BLVD STE 205
TORRANCE CA
90503-4416
US

IV. Provider business mailing address

4305 TORRANCE BLVD STE 205
TORRANCE CA
90503-4416
US

V. Phone/Fax

Practice location:
  • Phone: 310-370-2577
  • Fax:
Mailing address:
  • Phone: 310-370-2577
  • Fax: 310-371-0747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA91134
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: