Individual ProviderJung Ha KwonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358(310) 267-7737PECOS EnrollmentBased on the most recent information from CMS, provider Jung Ha Kwon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1184287013Provider TypeIndividualFull NameKwon, Jung HaGenderFemaleSole ProprietorYesEnumeration Date4/16/2019Last Updated4/16/2019Contact InformationPractice LocationPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358Phone(310) 267-7737FaxUnlisted FaxMailing LocationMailing Address757 Westwood Plz, Los Angeles, CA 90095-8358PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense688261California