Provider Demographics
NPI:1073855011
Name:MWE CORPORATION
Entity Type:Organization
Organization Name:MWE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAURY-YING
Authorized Official - Middle Name:
Authorized Official - Last Name:KHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-234-1519
Mailing Address - Street 1:409 N PACIFIC COAST HWY
Mailing Address - Street 2:#448
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-2870
Mailing Address - Country:US
Mailing Address - Phone:310-652-0085
Mailing Address - Fax:866-390-0007
Practice Address - Street 1:8500 WILSHIRE BLVD
Practice Address - Street 2:PENTHOUSE
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3121
Practice Address - Country:US
Practice Address - Phone:310-652-0085
Practice Address - Fax:866-390-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-16
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No132700000XDietary & Nutritional Service ProvidersDietary ManagerGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty