Gideon Puiyuen Kwok, DO

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

20A8908 Issued in CA

Practice address

12225 Foothill Blvd #120
Rancho Cucamonga, CA 91739

Phone

(909) 922-5100

Fax

(909) 922-5150

NPI assigned

Jan 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1700023520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 FOOTHILL BLVD STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399359",
            "telephone_number": "909-922-5100",
            "fax_number": "909-922-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12225 FOOTHILL BLVD #120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91739",
            "telephone_number": "909-922-5100",
            "fax_number": "909-922-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "GIDEON",
        "middle_name": "PUIYUEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "20A8908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrencene Roachelle Kuettle
• Joshua Meyer Kummerman
• Tzu Ling Kung
• Jeremy Kuznitz, DPT
• Nancy Suk-Ying Kwan, O.D.
• Gigi Yin CHI Kwok, M.S., R.D.
• Ricky Kwok, P.T.
• Laurel Yoonjung Kwon
• Jennie Kwun
• Priscilla Kyei

• Legal Medicine in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.