YOUNG J. KWAK (NPI# 1922443464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922443464 |
| Entity Type | Individual |
| Full Name | YOUNG J. KWAK |
| Credential | M.D. |
| Practice Address |
3828 Schaufele Ave Ste 300 Long Beach CA 90808-1793 |
| Practice Telephone | 5629971144 |
| Practice Fax Number | 5629893612 |
| Mailing Telephone | 5629971144 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A165830 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A165830 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407182249 | Young Jay Kwak | Internal Medicine | 300 Kensington Ave, New Britain, CT 06051 | 2009-10-29 |
| Street Address |
3828 SCHAUFELE AVE STE 300 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494292 | Laser Care Specialists | Specialist | 3828 Schaufele Ave Ste 300, Long Beach, CA 90808-1793 | 2005-11-15 |
| 1932501137 | Ashley Lee Metzger | Physician Assistant | 3828 Schaufele Ave Ste 300, Long Beach, CA 90808-1793 | 2014-09-18 |
| 1023438785 | Sandy Kuo | Dermatology | 3828 Schaufele Ave Ste 300, Long Beach, CA 90808-1793 | 2014-04-21 |
| 1295153997 | Sara Ruth Hogan | Dermatology | 3828 Schaufele Ave Ste 300, Long Beach, CA 90808-1793 | 2014-03-31 |
| 1295022259 | Hong Nguyen | Dermatology | 3828 Schaufele Ave Ste 300, Long Beach, CA 90808-1793 | 2011-06-28 |
| 1093032658 | Hadas Skupsky | Dermatology | 3828 Schaufele Ave Ste 300, Long Beach, CA 90808-1793 | 2010-04-22 |
| 1154387413 | Edward Glassberg | Specialist | 3828 Schaufele Ave Ste 300, Long Beach, CA 90808-1793 | 2006-04-25 |
| 1831171842 | Bryna Pearl Kane | Specialist | 3828 Schaufele Ave Ste 300, Long Beach, CA 90808-1793 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| Find all providers in zip 90808 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588714430 | Joanna Chan | Dermatology | 3918 Long Beach Blvd., Suite 200, Long Beach, CA 90807 | 2007-01-11 |
| 1083124598 | Alan W. Heller, M.d., A Professional Medical Corporation | Dermatology | 1760 Termino Ave Ste 114, Long Beach, CA 90804-2169 | 2017-10-10 |
| 1316996937 | Island Dermatology, PC | Dermatology | 604 E Park Ave, Long Beach, NY 11561-2505 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173936 | Mill Valley Dermatology, Inc | Dermatology | 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 | 2020-07-31 |
| 1710508874 | Zhe Hou, M.d., Ph.d., A Professional Corporation | Dermatology | 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 | 2020-04-29 |
| 1073152112 | Agape Dermatology PC | Dermatology | 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 | 2020-01-06 |
| 1497392492 | Pacifica Dermatology | Dermatology | 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 | 2019-12-09 |
| 1518447689 | Razieh Soltani Arabshahi Md Inc | Dermatology | 960 E Green St Ste 330, Pasadena, CA 91106-2401 | 2018-08-18 |
| 1811497928 | Laca Dermatology, Inc | Dermatology | 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 | 2018-02-15 |
| 1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
| 1376091553 | Integrated Dermatology of Mission Viejo, Apmc | Dermatology | 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 | 2016-09-15 |
| 1164835518 | Laila Elkeeb, M.d., Inc | Dermatology | 242 Wicker, Irvine, CA 92618-1170 | 2014-06-03 |
| 1518303924 | Christine Shaver | Dermatology | 1301 20th St Ste 570, Santa Monica, CA 90404-2118 | 2013-05-13 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
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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.