DR. MICHAEL SUNOH KWAK M.D.
NPI 1659710382
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 15, 2013PECOS Enrolled

2516 STOCKTON BLVD, PEDIATRIC RESIDENCY PROGRAM, SACRAMENTO, CA 95817(916) 734-2428 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Michael Sunoh Kwak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL SUNOH KWAK M.D. (NPI 1659710382) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659710382

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MICHAEL SUNOH KWAKCredential: M.D.

Location Address2516 STOCKTON BLVD, PEDIATRIC RESIDENCY PROGRAMSacramento, CA 95817-2208

Mailing Address2516 Stockton Blvd, Pediatric Residency ProgramSacramento, CA 95817-2208 · (916) 734-2428

Phone(916) 734-2428

Sole ProprietorNo

Enumeration DateJune 15, 2013

Last NPPES UpdateDecember 17, 2021

✔ NPI 1659710382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2516 STOCKTON BLVD, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Sunoh Kwak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.