Jennifer Kwon | San Jose, CA • PECOS Search

Jennifer Kwon

Social Worker

Behavioral Health & Social Service Providers

485 N 1st St, San Jose, CA 95112-4067

(408) 554-2550 (510) 317-1444

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Kwon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1912673989
Provider Type
Individual
Full Name
Kwon, Jennifer
Gender
Female

Sole Proprietor
No
Enumeration Date
8/19/2021
Last Updated
6/11/2023

Contact Information

Practice Location

485 N 1st St, San Jose, CA 95112-4067

Unlisted Fax

Mailing Location

8945 Golf Links Rd, Oakland, CA 94605-4124

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 104288 California