Individual provider · Type 1 NPI

Taegeun Kwon

Student in an Organized Health Care Education/Training Program · San Bernardino, CA

NPI number 1396530036 Active

Practice location

2101 N Waterman Ave
San Bernardino, CA 92404-4836

Call (310) 213-7905 Map

Mailing address

1609 W 183rd St
Gardena, CA 90248-3801

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396530036

Taegeun Kwon's National Provider Identifier is 1396530036, issued on Apr 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Bernardino, CA. The record was last updated on Apr 14, 2025.