MEDICARE: DR. JEFFREY KWAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC 30676	CA

General Provider Information

NPI Number	:	1154518819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY KWAN DC

Provider Business Mailing Address
First Line	:	411 E HUNTINGTON DR STE 119
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-3788
Country	:	US
Telephone Number	:	626-888-1773
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 E HUNTINGTON DR STE 119
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-3788
Country	:	US
Telephone Number	:	626-888-1773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	03/12/2026

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