MEDICARE: MR. DARREN KWONG D.O.

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	207R00000X	Internal Medicine Physician	20A13751	CA

General Provider Information

NPI Number	:	1831465707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DARREN KWONG D.O.

Provider Business Mailing Address
First Line	:	624 W DUARTE RD STE 102
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-9259
Country	:	US
Telephone Number	:	626-254-9540
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 W DUARTE RD STE 102
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-9259
Country	:	US
Telephone Number	:	626-254-9540
Fax Number	:

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

Provider Enumeration Date	:	03/26/2012
Last Update Date	:	06/07/2023

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