Provider Demographics
NPI:1477557809
Name:HING S. KWEE MD, INC.
Entity Type:Organization
Organization Name:HING S. KWEE MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HING
Authorized Official - Middle Name:S
Authorized Official - Last Name:KWEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-946-6772
Mailing Address - Street 1:914 W FOOTHILL BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3785
Mailing Address - Country:US
Mailing Address - Phone:909-946-6772
Mailing Address - Fax:
Practice Address - Street 1:914 W FOOTHILL BLVD
Practice Address - Street 2:STE B
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3785
Practice Address - Country:US
Practice Address - Phone:909-946-6772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31802207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA318020Medicaid
CAA318020Medicaid