PAUL SOONJAE KWON (NPI# 1457551087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457551087 |
| Entity Type | Individual |
| Full Name | PAUL SOONJAE KWON |
| Credential | M.D. |
| Practice Address |
2025 Morse Ave Room 2g Sacramento CA 95825-2115 |
| Mailing Address |
2025 Morse Ave Room 2g Sacramento CA 95825 |
| Practice Telephone | 9169735175 |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2013-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A97061 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
A97061 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295988707 | Paul Yoo Kwon | Dentist | 746 F St Sw, Quincy, WA 98848-1370 | 2008-10-28 |
| 1427277169 | Paul S. Kwon | Dermatology | 530 Lytton Ave, 2nd Floor, Palo Alto, CA 94301-1556 | 2007-04-24 |
| 1235205667 | Paul Kwon | Dentist | 312 N Elm Street, High Point, NC 27262 | 2006-11-28 |
| 1861709990 | Paul Kwon | Psychologist | 422 17th St, Lewiston, ID 83501-2526 | 2010-09-10 |
| 1619902335 | Paul Kwon | Pediatrics | 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2006-07-11 |
| 1861429250 | Paul H Kwon | Dentist | 515 Delaware St Se, 7th Floor Mmhst, Minneapolis, MN 55455-0348 | 2006-06-28 |
| Street Address |
2025 MORSE AVE ROOM 2G |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033087 | Enrico Cusi Lallana | Psychiatry & Neurology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2005-06-17 |
| 1508476490 | Jiangshan Huang | Pharmacist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2020-08-05 |
| 1114536208 | Ronald Curtis Patterson | Respiratory Therapist, Registered | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2020-07-24 |
| 1427677699 | Nichole Zinn | Counselor | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2020-04-08 |
| 1326678350 | Srishti Sonrita Chand | Pharmacist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2020-01-17 |
| 1073151320 | Winnie Wong | Pharmacist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2019-12-17 |
| 1093352171 | Gurkaran Singh Randhawa | Pharmacist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2019-12-07 |
| 1053957795 | Brittnee Lister | Dietitian, Registered | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2019-11-18 |
| 1083257026 | Margaret D Marshall | Social Worker | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2019-10-22 |
| 1811539661 | Grace Gontarski Mcinnes | Physician Assistant | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2019-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952738270 | Marshall Gollub | Psychiatry & Neurology | 1400 Jonas Ave., Sacramento, CA 95864 | 2013-10-01 |
| 1194160242 | Glen C Jickling | Psychiatry & Neurology | 2805 50th St, Rm 2415, Mind Institute, University of California Davis, Sacramento, CA 95817-2312 | 2013-05-02 |
| 1376886606 | Katherine Park | Psychiatry & Neurology | 3160 Folsom Blvd Ste 2100, Sacramento, CA 95816 | 2013-04-04 |
| 1700926920 | Fred R Samimi, Md, A Professional Corporation | Psychiatry & Neurology | 8765 Center Pkwy, #d, Sacramento, CA 95823-7682 | 2007-02-07 |
| 1447315361 | Michael Gerald Adelberg | Psychiatry & Neurology | 9856 Business Park Dr, Suite I, Sacramento, CA 95827-1704 | 2006-12-22 |
| 1669556965 | Edwin A Cruz | Psychiatry & Neurology | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2006-10-24 |
| 1639190556 | Bryant Neal Sheehy | Psychiatry & Neurology | 3908 J Street, Suite 4, Sacramento, CA 95819 | 2006-07-23 |
| 1063450500 | Lynne Ann Love | Psychiatry & Neurology | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2006-06-04 |
| 1790741734 | Vasanthi Krishna | Psychiatry & Neurology | 87 Scripps Drive Suite 210, Sacramento, CA 95825-7977 | 2006-04-26 |
| 1407818503 | Nidal Ali Khalili | Psychiatry & Neurology | 7551 Timberlake Way, Ste 240, Sacramento, CA 95823-5422 | 2006-04-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.