Provider Demographics
NPI:1194526343
Name:KWONG, EMILY (LAC, DACM)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:KWONG
Suffix:
Gender:
Credentials:LAC, DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 BURLWAY RD STE 316
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1725
Mailing Address - Country:US
Mailing Address - Phone:650-246-4957
Mailing Address - Fax:
Practice Address - Street 1:851 BURLWAY RD STE 316
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1725
Practice Address - Country:US
Practice Address - Phone:650-246-4957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19496171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist