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Jae Wook Kwon, D.O

Family Medicine Physician in Fullerton, CA · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558624957

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Registry record

Entity type Individual (Type 1)
Name Jae Wook Kwon
Credential D.O
Sex Male
Practice address 2251 N Harbor Blvd, Fullerton, CA, 92835
Phone (714) 449-6230
Enumeration date Jun 20, 2012
Last updated in NPPES Dec 16, 2024

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License D01985 (NV) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 20A16207 (CA) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
1558624957 Medicaid NV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jae Kwon practice?
The practice location on file with NPPES is in Fullerton, CA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jae Kwon?
The National Provider Identifier (NPI) for Jae Kwon is 1558624957, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-16.