Kwon, Grace Eun

Kwon, Grace Eun is an individual health care provider with primary practice located at 1 Hope Dr , Tustin CA 92782-0221. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Kwon, Grace Eun can be contacted via phone (714) 247-0300.

Contact Information

Primary practice address
1 Hope Dr Tustin CA 92782-0221
Phone: (714) 247-0300
Fax: (714) 259-1598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 54077 Connecticut
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 54077 Connecticut
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20A12013 California

Profile Details

NPI number 1326347873
LBN Legal business name Kwon, Grace Eun
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2011
Last updated Apr 5th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326347873 NPPES
Connecticut Other 008059045 KWON MEDICAID
Connecticut Other D400248447 KWON MEDICAID

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