Organization Active NPI

Julie You Kwon MD Inc

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1417484213
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JULIE YOU KWON MD INC
Practice address
932 S Cloverdale Ave
Los Angeles, CA 90036-4817
Phone
(310) 843-1904
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Julie Kwon
Title
President/Director
Phone
(310) 843-1904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

932 S Cloverdale Ave
Los Angeles, CA 90036-4817

Mailing address

932 S Cloverdale Ave
Los Angeles, CA 90036-4817

Other identifiers 1

IdentifierTypeStateIssuer
142879OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1417484213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 S CLOVERDALE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 S CLOVERDALE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364817",
            "telephone_number": "310-843-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE YOU KWON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "310-843-1904"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "142879",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.