Stephen K Kwan in Santa Monica - Periodontics
Stephen K Kwan - NPI 1104016526
Stephen K Kwan is a Periodontics in Santa Monica, California. Stephen K Kwan practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Stephen K Kwan is 1104016526. The last update date is 2007-08-01.
Stephen K Kwan's current location address is 1304 15th Street, Santa Monica, California. You can contact this provider via phone number 3103939706 and fax number 3108991828. The mailing address for Stephen K Kwan is 1304 15th Street, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen K Kwan |
|---|---|
| Address | 1304 15th Street, Santa Monica, California |
| Phone Number | 3103939706 |
| Fax Number | 3108991828 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104016526 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 1304 15th Street |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 90404 |
| Phone Number | 3103939706 |
| Fax Number | 3108991828 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 27446 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stephen K Kwan by the Centers for Medicare & Medicaid Services?
The Stephen K Kwan has been assigned the NPI (National Provider Identifier) 1104016526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Stephen K Kwan's physical address?
The Stephen K Kwan is physically located at 1304 15Th Street, in the city of Santa Monica, CA, with the postal code 90404.
What is Stephen K Kwan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephen K Kwan is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Stephen K Kwan receive the assignment of its 1104016526 from the Centers for Medicare & Medicaid Services?
The Stephen K Kwan was issued its 1104016526 by the Centers for Medicare & Medicaid Services on 2007-08-01.
When was the information related to Stephen K Kwan most recently updated or refreshed?
The details pertaining to the Stephen K Kwan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-01.