MEDICARE: CHRISTINA LOUISE KWOCK MD

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	208600000X	Surgery Physician	A174858	CA

General Provider Information

NPI Number	:	1275920258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA LOUISE KWOCK MD

Provider Business Mailing Address
First Line	:	263 PEARSON DR STE 100
Second Line	:
City	:	PORTERVILLE
State	:	CA
Zip	:	93257-3333
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	263 PEARSON DR STE 100
Second Line	:
City	:	PORTERVILLE
State	:	CA
Zip	:	93257-3333
Country	:	US
Telephone Number	:	559-544-6865
Fax Number	:

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

Provider Enumeration Date	:	04/17/2015
Last Update Date	:	01/06/2026

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