Provider Demographics
NPI:1942715925
Name:HONE SOO KAW MD INC
Entity Type:Organization
Organization Name:HONE SOO KAW MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HONE
Authorized Official - Middle Name:SOO
Authorized Official - Last Name:KAW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-262-2768
Mailing Address - Street 1:500 N GARFIELD AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1242
Mailing Address - Country:US
Mailing Address - Phone:626-262-2768
Mailing Address - Fax:
Practice Address - Street 1:500 N GARFIELD AVE STE 306
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1242
Practice Address - Country:US
Practice Address - Phone:626-262-2768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA126514207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty