| Jenny Kwon, | |
|
14850 Central Ave, Chino, CA 91710-9509 | |
| (909) 597-0504 | |
| Not Available |
| Full Name | Jenny Kwon |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 14850 Central Ave, Chino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194491548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 451684 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Kwon, 1 Benicia, Irvine, CA 92602-1079 Ph: (714) 833-7448 | Jenny Kwon, 14850 Central Ave, Chino, CA 91710-9509 Ph: (909) 597-0504 |
Jennie Jung Huh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13229 Lamar Ave, Chino, CA 91710 Phone: 909-628-4907 | |
Central Care Physical Therapy, Inc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14820 Central Ave, Chino, CA 91710 Phone: 626-376-0371 Fax: 909-524-4317 | |
Lauren Ashley Foronda, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4541 Philadelphia St Ste C103, Chino, CA 91710 Phone: 909-590-7997 | |
Alyssa Guerrero, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14850 Central Ave, Chino, CA 91710 Phone: 909-597-0504 | |
Ana Sanchez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5177 Lincoln Ave, Chino, CA 91710 Phone: 909-342-2215 | |
Juliana Ospina, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14850 Central Ave, Chino, CA 91710 Phone: 909-597-0504 |