GRACE EUN KWON (NPI# 1326347873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326347873 |
| Entity Type | Individual |
| Full Name | GRACE EUN KWON |
| Credential | D.O. |
| Practice Address |
1 Hope Dr Tustin CA 92782-0221 |
| Practice Telephone | 7142470300 |
| Practice Fax Number | 7142591598 |
| Mailing Telephone | 7142470300 |
| Mailing Fax Number | 7142591598 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20A12013 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
54077 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
54077 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | KWON MEDICAID | 008059045 | 01 |
| CT | KWON MEDICARE | D400248447 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154430932 | Grace Kwon | Pharmacist | 5575 Mission Blvd, Riverside, CA 92509 | 2006-08-29 |
| 1114564457 | Grace Kwon | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2019-12-05 |
| 1023330354 | Grace Song Kwon | Pharmacist | 491 S Broadway, Yonkers, NY 10705-3252 | 2010-03-01 |
| 1427210186 | Grace Y Kwon | Internal Medicine | 200 Hygeia Dr, Suite 2100, Newark, DE 19713-2049 | 2008-06-25 |
| Street Address |
1 HOPE DR |
| City | TUSTIN |
| State | CA |
| Zip Code | 92782-0221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558569921 | Mark Robert Wade | Internal Medicine | 1 Hope Dr, Tustin, CA 92782-0221 | 2007-07-06 |
| 1477196079 | Adrianne Wong | Physician Assistant | 1 Hope Dr, Tustin, CA 92782-0221 | 2019-10-26 |
| 1265916944 | Nichola Clemens Usher | Registered Nurse | 1 Hope Dr, Tustin, CA 92782-0221 | 2018-09-19 |
| 1316430754 | Allysha Varughese | Physician Assistant | 1 Hope Dr, Tustin, CA 92782-0221 | 2018-06-11 |
| 1073003786 | Jonathan Ramonty Chhean | Nurse Practitioner | 1 Hope Dr, Tustin, CA 92782-0221 | 2018-05-17 |
| 1720507437 | Susana Ortega Rios | Nurse Practitioner | 1 Hope Dr, Tustin, CA 92782-0221 | 2017-09-13 |
| 1629527692 | Stefanie Zargarbashi | Social Worker | 1 Hope Dr, Tustin, CA 92782-0221 | 2016-09-30 |
| 1114474897 | Karina Arredondo | Social Worker | 1 Hope Dr, Tustin, CA 92782-0221 | 2016-09-09 |
| 1578019774 | Gregory Fowler | Social Worker | 1 Hope Dr, Tustin, CA 92782-0221 | 2016-08-28 |
| 1063865509 | Rafael Ceja Ochoa | Dental Hygienist | 1 Hope Dr, Tustin, CA 92782-0221 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890528 | Christina Maria Clayton | Registered Nurse | 3100 Park Ave Apt 7-201, Tustin, CA 92782 | 2020-01-18 |
| 1447769963 | National Vision, Inc. | Technician/Technologist | 15020 Kensington Park Drive, J300, Tustin, CA 92782 | 2017-09-27 |
| 1487175410 | Vanson Dental Corporation | Dentist | 15160 Kensington Park Drive, Ste 610, Tustin, CA 92782 | 2017-06-29 |
| 1982133526 | Hee Eun Lee | Occupational Therapist | 2741 Dunstan Drive, Tustin, CA 92782 | 2017-06-07 |
| 1881129229 | Lydia Anna Bray | Pharmacist | 2102 Seminole, Tustin, CA 92782 | 2017-04-24 |
| 1427591577 | Charlie Huang | Internal Medicine | 15000 Kensington Park Dr Ste 250, Tustin, CA 92782 | 2016-11-21 |
| 1144672270 | Leiza Yamila Walia | Dentist | 15160 Kensington Park Dr Ste 610, Tustin, CA 92782 | 2016-07-13 |
| 1467831131 | Steven Yi Sun | Pediatrics | 15000 Kensington Park Dr, Tustin, CA 92782 | 2015-05-27 |
| 1639506405 | Medivan | Non-emergency Medical Transport (VAN) | 13800 Parkcenter Lane, Tustin, CA 92782 | 2013-10-10 |
| 1124266085 | Stacie Lynn Aragon | Counselor | 1 Hope Dr., Tustin, CA 92782 | 2009-01-30 |
| Find all providers in zip 92782 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605249 | Aloha Psychiatry | Psychiatry & Neurology | 78 Holmes Pl, Tustin, CA 92782-3738 | 2020-06-30 |
| 1972023208 | Gs Medical Enterprises, Inc. | Psychiatry & Neurology | 13681 Newport Ave Ste 8-886, Tustin, CA 92780-4689 | 2017-06-27 |
| 1093985137 | John Gregory Duffy Md, Apc | Psychiatry & Neurology | 17821 E 17st, Suite 165, Tustin, CA 92780-2136 | 2008-03-05 |
| 1952445983 | Julie J Giglio | Psychiatry & Neurology | 161 Fashion Ln Ste 203, Tustin, CA 92780-3331 | 2007-02-15 |
| 1255497251 | John Gregory Duffy | Psychiatry & Neurology | 17821 E. 17th St, Suite 165, Tustin, CA 92780 | 2006-12-28 |
| 1629143045 | Susan M. Stalzer | Psychiatry & Neurology | 17742 Irvine Blvd, Ste. 206, Tustin, CA 92780-3257 | 2006-11-21 |
| 1154358497 | Amor S Del Mundo Md, Inc. | Psychiatry & Neurology | 180 S Prospect Ave, Suite # 140 B, Tustin, CA 92780-3698 | 2006-06-26 |
| 1710271663 | Lilly Kao, M.d., Inc. | Psychiatry & Neurology | 14351 Red Hill Ave, Suite C, Tustin, CA 92780-6271 | 2011-06-07 |
| 1568669992 | Roderick Dean Ponath | Psychiatry & Neurology | 17291 Irvine Blvd, Suite 104, Tustin, CA 92780-2941 | 2007-06-29 |
| 1861521718 | Ruth Anne Fox | Psychiatry & Neurology | 242 W Main St, Tustin, Tustin, CA 92780-7723 | 2007-03-05 |
| Find all providers in TUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.