Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jin Gon Kwack, ACUPUNCTURIST

Individual provider Acupuncturist · NPI 1770961195

Jin Gon Kwack, ACUPUNCTURIST is an Acupuncturist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

904 S Harvard Blvd Apt 301
Los Angeles, CA 90006-1267
Phone: (213) 364-4110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 16595 (CA)

Record details

NPI number1770961195
Entity typeIndividual (Type 1)
GenderMale
Credentials ACUPUNCTURIST
Sole proprietorYes
NPI enumeratedMay 18, 2015
Last updated in NPPESMay 18, 2015

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