Provider Demographics
NPI:1790886034
Name:KWOK, ESTER (MD)
Entity type:Individual
Prefix:
First Name:ESTER
Middle Name:
Last Name:KWOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 DARDANELLI LN STE 27B
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1440
Mailing Address - Country:US
Mailing Address - Phone:408-374-1112
Mailing Address - Fax:408-374-1133
Practice Address - Street 1:320 DARDANELLI LN STE 27B
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1440
Practice Address - Country:US
Practice Address - Phone:408-374-1112
Practice Address - Fax:408-374-1133
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA050957207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F57685Medicare UPIN
00A509570Medicare ID - Type Unspecified