| Hansen Kwok Md Inc | |
|
1111 Exposition Blvd Ste 400a Sacramento CA 95815-4336 | |
| (916) 454-1604 | |
| (916) 646-4056 |
| Full Name | Hansen Kwok Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Exposition Blvd Ste 400a, Sacramento, California |
| Authorized Official Name and Position | Hansen Kwok (OWNER/PRESIDENT) |
| Authorized Official Contact | 9164541604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hansen Kwok Md Inc 1111 Exposition Blvd Ste 400a Sacramento CA 95815-4336 Ph: (916) 454-1604 | Hansen Kwok Md Inc 1111 Exposition Blvd Ste 400a Sacramento CA 95815-4336 Ph: (916) 454-1604 |
| NPI Number | 1811455652 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 03/12/2019 |
| Medicare PECOS PAC ID | 2264774702 |
|---|---|
| Medicare Enrollment ID | O20190501003450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811455652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Hansen Kwok |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992896286 PECOS PAC ID: 4284612094 Enrollment ID: I20040708001386 |
| Provider Name | Michelle Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366824807 PECOS PAC ID: 0941593826 Enrollment ID: I20210805000796 |
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