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Contact Information

JOSEPH KWACK
1340 15TH ST
SANTA MONICA, CA90404
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOSEPH KWACK · (Male)

NPI Number 1053739029
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2014
Last updated 12/06/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A139386
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL - WEST LA - (Acute Care)
    6041 CADILLAC AVE
    LOS ANGELES, CA 90034
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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