Healthcare Provider Details

I. General information

NPI: 1780045898
Provider Name (Legal Business Name): RALPH KUON M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2016
Last Update Date: 12/16/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5654 PICKERING AVE
WHITTIER CA
90601-2414
US

IV. Provider business mailing address

5654 PICKERING AVE
WHITTIER CA
90601-2414
US

V. Phone/Fax

Practice location:
  • Phone: 562-845-8384
  • Fax:
Mailing address:
  • Phone: 562-945-9384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberA39928
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: