Provider Demographics
NPI:1003064650
Name:FRANK K KWONG INC
Entity Type:Organization
Organization Name:FRANK K KWONG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:K
Authorized Official - Last Name:KWONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-655-8510
Mailing Address - Street 1:240 S LA CIENEGA BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3324
Mailing Address - Country:US
Mailing Address - Phone:323-655-8510
Mailing Address - Fax:310-652-0715
Practice Address - Street 1:240 S LA CIENEGA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3324
Practice Address - Country:US
Practice Address - Phone:323-655-8510
Practice Address - Fax:310-652-0715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG40830207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABJ940AMedicare PIN