Nicole Kwon
Medical Specialty
Professional ID
- NPI: 1427349869
- PECOS ID: 3971818527
- Enrollment ID: I20150812006886
- Credential(MD, DO, DPM):
- Medical School: Rush Medical College Of Rush University
- Medical School Graduation Year: 2011
Hospital Service
- Hospital CCN1: 050047
- Business Name (LBN)1: California Pacific Medical Ctr-pacific Campus Hosp
- Hospital CCN2: 050291
- Business Name (LBN)2: Sutter Santa Rosa Regional Hospital
- Hospital CCN3: 050174
- Business Name (LBN)3: Santa Rosa Memorial Hospital
Medical Practices
- Organization Name: Sutter West Bay Medical Foundation
- Group Practice ID assigned by PECOS: 0345145025
- Number of Group Practice member: 343
Location
- Address1: 34 Mark W Springs Rd
- Address2: Fl 3
- City: Santa Rosa
- State: California
- Zip Code: 95403
- Phone Number: (707)573-5200
Location
- Address1: 34 Mark W Springs Rd 2nd Floor
- Address2: Sutter Pacific Medical Foundation
- City: Santa Rosa
- State: California
- Zip Code: 95403
- Phone Number: (707)541-7900
Location
- Address1: 4700 Hoen Ave
- Address2:
- City: Santa Rosa
- State: California
- Zip Code: 95405
- Phone Number: (707)526-3360
Location
- Address1: 4702 Hoen Ave
- Address2:
- City: Santa Rosa
- State: California
- Zip Code: 95405
- Phone Number: (707)521-7750
Medical Practices
- Organization Name: Sutter Bay Medical Foundation
- Group Practice ID assigned by PECOS: 4284538778
- Number of Group Practice member: 2407
Location
- Address1: 34 Mark W Springs Rd
- Address2:
- City: Santa Rosa
- State: California
- Zip Code: 95403
- Phone Number:
Location
- Address1: 3883 Airway Dr
- Address2:
- City: Santa Rosa
- State: California
- Zip Code: 95403
- Phone Number: (415)751-1817
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):