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NPI Code Detail

MEDICARE: MRS. COLLEEN TING-TING KWAN MS

MEDICARE:  MRS. COLLEEN TING-TING KWAN  MS
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
1235Z00000XSpeech-Language PathologistCA

General Provider Information

NPI Number : 1699621300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. COLLEEN TING-TING KWAN MS
Provider Business Mailing Address
First Line : 6623 OAK AVE
Second Line :
City : TEMPLE CITY
State : CA
Zip : 91780-1310
Country : US
Telephone Number : 626-548-5060
Fax Number :
Provider Business Practice Location Address
First Line : 6623 OAK AVE
Second Line :
City : TEMPLE CITY
State : CA
Zip : 91780-1310
Country : US
Telephone Number : 626-548-5060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ MRS. COLLEEN TING-TING KWAN MS” Practice Location

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