Dr Sue Min Sophia Kwon, MD | |
26600 Cactus Ave Ste 300, Moreno Valley, CA 92555-3901 | |
(951) 988-9500 | |
(951) 571-8938 |
Full Name | Dr Sue Min Sophia Kwon |
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Gender | Female |
Speciality | Internal Medicine |
Location | 26600 Cactus Ave Ste 300, Moreno Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174152631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A186401 (California) | Primary |
Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
Entity Name | Riverside Faculty Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124032461 PECOS PAC ID: 9436253515 Enrollment ID: O20070329000259 |
Mailing Address | Practice Location Address |
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Dr Sue Min Sophia Kwon, MD 26600 Cactus Ave Ste 300, Moreno Valley, CA 92555-3901 Ph: (951) 988-9500 | Dr Sue Min Sophia Kwon, MD 26600 Cactus Ave Ste 300, Moreno Valley, CA 92555-3901 Ph: (951) 988-9500 |
Mr. Roger Courtney Garrison, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5700 Fax: 951-486-5705 | |
Dr. Lynnetta E Skoretz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4640 Fax: 951-571-8938 | |
Dr. Sharina Mary Mapleton, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27200 Iris Ave, Mob2, Moreno Valley, CA 92555 Phone: 951-353-2000 | |
Made Sutjita, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5700 Fax: 951-486-5705 | |
Eunwoo Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Gamal F Ghaly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14114 Business Center Dr. Ste. G, Moreno Valley, CA 92553 Phone: 951-656-5333 Fax: 951-656-6789 | |
Dr. John-vincent Arcilla, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 |