Larry W. Kwak
Hematologist Medical Oncology
1500 Duarte Rd
Duarte
, California 91010-3012
Larry W. Kwak
Hematologist Medical Oncology
1500 Duarte Rd
Duarte
, California 91010-3012
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About
Features
Specialties
- Hematologist
- Medical Oncology
Languages spoken
- English
Location
First Address
- Larry W. Kwak
- Po Box 512185
- Los Angeles, CA
- Zip : 90051-0185
- Phone :
Second Address
- Larry W. Kwak
- 1500 Duarte Rd
- Duarte, CA
- Zip : 91010-3012
- Phone : (626) 256-4673
Reviews
FAQs
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What type of doctor is Larry W. Kwak
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Where is Larry W. Kwak ’s practice located?
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Is Larry W. Kwak a sole practitioner?
Is Larry W. Kwak accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0000X | Hematologist | G55439 | CA |
| N | 207RX0202X | Medical Oncology | G55439 | CA |
National Provider Identifier
| NPI | 1134215817 |
|---|---|
| Provider Name | Larry W. Kwak |
| First Address | Los Angeles, CA 90051-0185 |
| Second Address | Duarte, CA 91010-3012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 11/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 165889001 | (05) | TX |
| 8M5590 | BCBS (01) | TX |
| I07415 | (02) | |
| P00170261 | RR MEDICARE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.