Provider Demographics
NPI:1295060432
Name:KWOK, SHEILA CHE LAN (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:CHE LAN
Last Name:KWOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:WONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3544 GRIFFITH PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-1405
Mailing Address - Country:US
Mailing Address - Phone:323-661-7860
Mailing Address - Fax:323-661-7860
Practice Address - Street 1:3544 GRIFFITH PARK BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-1405
Practice Address - Country:US
Practice Address - Phone:323-661-7860
Practice Address - Fax:323-661-7860
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAFE24415208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAFE24415OtherVOLUNTARU SERVICE