Ke Sung Kwak, DC is a
Acupuncturist based in Los Angeles, California. Ke Sung Kwak is licensed to practice in California (license number AC9503) and his current practice location is
1730 W Olympic Blvd, Suite 100, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 384-1100.
NPI number for Ke Sung Kwak is 1215178082 and his current mailing address is 1730 W Olympic Blvd, Suite 100, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215178082.
Healthcare Provider's Profile
| Full Name | Ke Sung Kwak |
|---|
| Gender | Male |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 1730 W Olympic Blvd, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215178082
- Provider Enumeration Date: 03/09/2009
- Last Update Date: 03/09/2009
Medical Identifiers
Medical identifiers for Ke Sung Kwak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215178082 | NPI | - | NPPES |
| AC9503 | Other | | CALIFORNIA ACUPUNCTURE BOARD |
| DC30810 | Other | | CALIFORNIA CHIROPRACTIC BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | DC30810 (California) | Secondary |
| 171100000X | Acupuncturist | AC9503 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ke Sung Kwak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ke Sung Kwak, DC 1730 W Olympic Blvd, Suite 100, Los Angeles, CA 90015-1019 Ph: (213) 384-1100 | Ke Sung Kwak, DC 1730 W Olympic Blvd, Suite 100, Los Angeles, CA 90015-1019 Ph: (213) 384-1100 |
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