Young J. Kwak, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A165830 Issued in CA

Practice address

2921 Palo Verde Ave Ste 102
Long Beach, CA 90815-1561

Phone

(562) 999-3483

Fax

(562) 262-2215

NPI assigned

May 9, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Medical College of Georgia School of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Wu Enterprise IncGroup PAC ID 5193113090, 4 clinicians

Modern Dermatology, Inc.Group PAC ID 7618473521, 3 clinicians

Good Derm, IncGroup PAC ID 4789001983, 4 clinicians

Pure DermatologyGroup PAC ID 7416192323, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.17 of 100Reported as group

Quality

74.51

Promoting interoperability

92

Improvement activities

40

Cost

82.72

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ykwak699413@direct.memorialcare.org
• Direct secure messaging: drkwak@purederm.emadirect.md
• FHIR API: https://fhir4.healow.com/fhir/r4/FBBCCD

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.

• Modern Dermatology, Inc.

  • Dermatology Physician
  • Long Beach, CA
  • NPI 1770386054
  Medicare reassignment Care Compare group NPD Authorized official
• Good Derm, Inc

  • Dermatology Physician
  • Torrance, CA
  • NPI 1407474273
  Medicare reassignment Care Compare group NPD
• Pure Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1912246570
  Medicare reassignment Care Compare group NPD
• Wu Enterprise Inc.

  • Procedural Dermatology Physician
  • Long Beach, CA
  • NPI 1881352581
  Medicare reassignment Care Compare group NPD
• J Robert West, M.D., Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment NPD
• Douglas K Ulmer MD, a Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Long Beach, CA
  • NPI 1841233624

  Dermatology

  NPD
• Good Dermatology, a Professional Medical Corporation

  • Dermatology Physician
  • Torrance, CA
  • NPI 1518349794
  NPD
• James Wu MD Inc

  • Dermatology Physician
  • Hawthorne, CA
  • NPI 1134785785
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Surgery Center of Pure

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1285247569
  NPD

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1922443464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 PALO VERDE AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151561",
            "telephone_number": "562-999-3483",
            "fax_number": "562-262-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 PALO VERDE AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151561",
            "telephone_number": "562-999-3483",
            "fax_number": "562-262-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "YOUNG",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A165830",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A165830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cary David Kutzke, D.C.
• Alexia Kutzner
• Ronald Brian Kuzin
• Kevin Kwak
• Soo Kwak
• Vincent VI Kwok, M.D.
• Joyce E. Kwon, AMFT
• Megan Kwon, PT, DPT
• Young Jae Kwon, M.D.
• Darline Spring Ky, PHARMD

• MOHS-Micrographic Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.