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General NPI Number Information
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NPI Number | 1376483560
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Entity Type | Organization
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Legal Business Name | DANIEL KWON DO INC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 14023 PARAMOUNT BLVD
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City | PARAMOUNT
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State | CA
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Zip | 90723-2605
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Country | US
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Telephone | 323-961-0586
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Fax |
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Provider Business Mailing Address
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Address Line | 7366 MADDOX CT
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City | EASTVALE
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State | CA
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Zip | 92880-1046
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Country | US
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Telephone | 323-961-0586
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DANIEL KWON
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Credential | DO
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Telephone | 909-438-1244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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