| Dustin Ken Kwon, PA-S | |
|
1115 S Sunset Ave, West Covina, CA 91790-3940 | |
| (626) 962-4011 | |
| Not Available |
| Full Name | Dustin Ken Kwon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 1115 S Sunset Ave, West Covina, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437789195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA57831 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Telehealth Clinical Evals Llc | 2860816725 | 10 |
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Telehealth Clinical Evals LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346868387 PECOS PAC ID: 2860816725 Enrollment ID: O20200826003870 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Ken Kwon, PA-S 4171 Paseo De Plata, Cypress, CA 90630-3428 Ph: (714) 614-1600 | Dustin Ken Kwon, PA-S 1115 S Sunset Ave, West Covina, CA 91790-3940 Ph: (626) 962-4011 |
Steve Gichuru, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 409 E Merced Ave Ste A, West Covina, CA 91790 Phone: 625-931-0901 |
Mrs. Shannon Rivera, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-962-4011 |
Giselle Majan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 420 S Glendora Ave, West Covina, CA 91790 Phone: 626-919-4333 |
Ms. Miriam Ha, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 S Glendora Ave, West Covina, CA 91790 Phone: 626-919-4333 Fax: 626-919-8503 |
Lauren Carol O'neal, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-962-4011 |
Mario Corona, P-A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 714 N Orange Ave, West Covina, CA 91790 Phone: 323-265-3060 |
Gina M Liang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 S Glendora Ave, West Covina, CA 91790 Phone: 909-620-8088 |