JIYUN JEAN KWON (NPI# 1831597061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831597061 |
| Entity Type | Individual |
| Full Name | JIYUN JEAN KWON |
| Credential | PHARMD |
| Practice Address |
1670 East 120th Street Mlk Oc Pharmacy Los Angeles CA 90059 |
| Mailing Address |
5415 Mead Dr Buena Park CA 90621-1390 |
| Practice Telephone | 4243381972 |
| Mailing Telephone | 9098025073 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
PH58259 | CA | Ambulatory Health Care Facilities |
| Street Address |
1670 EAST 120TH STREET MLK OC PHARMACY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093230344 | Benjamin Franklin Edmands | Physical Therapist | 1670 East 120th Street, Los Angeles, CA 90059 | 2017-08-08 |
| 1982002192 | Nathaniel Dunn | Pharmacist | 1670 East 120th Street, Los Angeles, CA 90059 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566431 | Regents Univ of Calif of Los Angeles | Clinic/Center | 200 Medical Plaza Suite 120, Los Angeles, CA 90095-0001 | 2017-09-08 |
| 1700090388 | Usc Kenneth Norris Jr. Cancer Hospital | Clinic/Center | 1441 Eastlake Ave., Room 1355, Los Angeles, CA 90033 | 2007-05-10 |
| 1699857789 | Oncology Hematology Med Grp of Wla Inc | Clinic/Center | 1125 S Beverly Dr, 500, Los Angeles, CA 90035-1183 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478712 | Iliana Garcia | Clinic/Center | 725 Welch Rd Rm 2570, Palo Alto, CA 94304-1614 | 2020-05-08 |
| 1215189709 | Martin J Cline | Clinic/Center | 6901 Panoramic Highway, Stinson Beach, CA 94970-0905 | 2008-10-16 |
| 1477603983 | Epeius Biotechnologies Corporation | Clinic/Center | 475 Huntington Dr, San Marino, CA 91108-2358 | 2007-01-10 |
| 1063486025 | Sequoia Oncology Medical Assoc | Clinic/Center | 857 Garner Ave, Hanford, CA 93230 | 2006-02-15 |
| 1265405328 | Sequoia Oncology Medical Assoc | Clinic/Center | 4945 W Cypress Ave, Ste C, Visalia, CA 93277 | 2006-02-09 |
| 1164077566 | Vaginal and Pelvic Surgeons, Inc | Clinic/Center | 1325 E Church St, Santa Maria, CA 93454-5909 | 2019-08-03 |
| 1558823518 | City of Hope Medical Foundation | Clinic/Center | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2019-04-01 |
| 1356848584 | Colton Health LLC | Clinic/Center | 480 Fourth Ave Ste 409, Chula Vista, CA 91910-4413 | 2018-04-13 |
| 1629528880 | Kaiser Permanente | Clinic/Center | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2016-10-11 |
| 1114371481 | Emad Ibrahim, Md, Inc. | Clinic/Center | 255 Terracina Blvd, Suite 104b, Redlands, CA 92373-4870 | 2016-04-22 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.