Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036-120601 | IL |
NPI | 1023287786 |
---|---|
Provider Name | Dr. Yong Kwon |
First Address | El Cajon, CA 92020-4126 |
Second Address | El Cajon, CA 92020-4126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2008 |
Last Update Date | 01/12/2021 |