Provider Demographics
NPI:1184068405
Name:KWON, ANASTASIA EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:ANASTASIA
Middle Name:EUGENE
Last Name:KWON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:UCLA DEPARTMENT OF ANESTHESIOLOGY RESIDENCY OFC
Mailing Address - Street 2:757 WESTWOOD PLAZA, SUITE 3325
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-0001
Mailing Address - Country:US
Mailing Address - Phone:310-267-8653
Mailing Address - Fax:310-267-3766
Practice Address - Street 1:UCLA DEPARTMENT OF ANESTHESIOLOGY RESIDENCY OFC
Practice Address - Street 2:757 WESTWOOD PLAZA, SUITE 3325
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-267-8653
Practice Address - Fax:310-267-3766
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2018-10-29
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Provider Licenses
StateLicense IDTaxonomies
CAA134172207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology