Organization Active NPI

Stephen K Kwan M D Inc

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1790960011
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A35371 Issued in CA
Legal business name
STEPHEN K KWAN M D INC
Practice address
711 W College St
#200
Los Angeles, CA 90012-1163
Phone
(213) 680-0222
Fax
(213) 680-3603
NPI assigned
Jan 5, 2008
Last updated
Mar 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Dr. Stephen Kam-Cheung Kwan, M.D.NPI 1710082805
Title
President
Phone
(213) 680-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A35371 CA Primary

Addresses

Primary practice location

711 W College St
#200
Los Angeles, CA 90012-1163

Mailing address

711 W College St
#200
Los Angeles, CA 90012-1163
Phone (213) 680-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110111000251 CA Part B Supplier - Clinic/Group Practice 7719176551 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

711 W College St
Ste 200
Los Angeles, CA 90012
Phone (213) 680-0022

600 N Garfield Ave
Ste 309
Monterey Park, CA 91754
Phone (626) 288-0123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1790960011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "#200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-680-0222",
            "fax_number": "213-680-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "#200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-680-0222",
            "fax_number": "213-680-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN K KWAN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-05",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KAM-CHEUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-680-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A35371",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.