SearchCalifornia390200000X

Taegeun Kwon

NPI 1396530036 · on the registry since 2025

Practice

Address
2101 N Waterman Ave
San Bernardino, CA 92404
Phone
(310) 213-7905
Organisation at this address
Dignity Health
Sanani Medcorp
Kalyanam Health
Rasouli Medical Group
Mufadda J Hasan Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
171

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California