Individual provider Active NPI

William Warren Kwan, MD

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1376504407
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G73605 Issued in CA
Practice address
8631 W 3Rd St Ste 1035
Los Angeles, CA 90048-5964
Phone
(310) 659-9075
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G73605 CA Primary

Addresses

Primary practice location

8631 W 3Rd St Ste 1035
Los Angeles, CA 90048-5964

Mailing address

360 Post St
Ste 400
San Francisco, CA 94108-4907
Phone (415) 217-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511001031 CA Practitioner - Dermatology 7810937554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians

Practice addresses (Care Compare)

2802 Pacific Coast Hwy
Torrance, CA 90505-6702
Phone (310) 274-5372

421 N Rodeo Dr
FL 2
Beverly Hills, CA 90210-4531
Phone (310) 274-5372

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1076
Removal or shaving of skin growth46
Skin biopsy381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G73605CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Coastal Dermatology a Medical Corporation CurrentSince Feb 1, 2021 Accepting new patients
Golden State Dermatology Associates, Inc. Dermatology CurrentSince Jul 30, 2025 Accepting new patients
Tower Dermatology PC Dermatology CurrentSince Jan 1, 2025 Accepting new patients
Golden State Dermatology Associates, Inc. CurrentSince Jul 30, 2025 Accepting new patients
Moy-Fincher-Chipps Surgery Center, Inc. Past Accepting new patients
St Joseph Hospital of Orange PastSince Feb 1, 2021 Accepting new patients

Locations

153 S Lasky Dr
Ste 1
Beverly Hills, CA 90212
Phone (310) 556-0119

421 N Rodeo Dr
Fl 2
Beverly Hills, CA 90210
Phone (310) 274-5372

421 N Rodeo Dr
Ste T7
Beverly Hills, CA 90210
Phone (310) 274-5372

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

5400 Balboa Blvd
Ste 220
Encino, CA 91316
Phone (310) 274-5327

5400 Balboa Blvd
Ste 200
Encino, CA 91316
Phone (310) 274-5372

8631 W 3rd St
Ste 1035E
Los Angeles, CA 90048
Phone (310) 659-9075

8631 W 3rd St
Ste 1035
Los Angeles, CA 90048
Phone (310) 659-9075

28261 Marguerite Pkwy
Ste 200
Mission Viejo, CA 92692
Phone (949) 542-8500

2802 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 274-5372

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1376504407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 POST ST",
            "address_2": "STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084907",
            "telephone_number": "415-217-3880",
            "fax_number": "415-217-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 1035",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485964",
            "telephone_number": "310-659-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "WILLIAM",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G73605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.