Carol Haein Kwak, PA-C
Carol Haein Kwak, PA-C is a Physician Assistant in Ontario, California. Qualified in 2021, 5 years ago. Practices with Oneil Enterprises Inc, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 5
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
Ontario, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 10900 Euclid Ave, Cleveland, OH 44106-7506 — (216) 368-0575
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 60516 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1891303293 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | July 21, 2020 |
| Last updated in NPPES | July 6, 2022 |
| Certification date | July 6, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Oneil Enterprises Inc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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