EDWIN KWON MD INC
NPI 1083068092
Clinic/Center in Los Angeles, CA
About Edwin Kwon Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWIN KWON MD INC (NPI 1083068092) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since April 2016. The organization lists Edwin Kwon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edwin Kwon Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Edwin Kwon MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edwin Kwon MD Inc's NPI number?
The NPI number for Edwin Kwon MD Inc is 1083068092. It was assigned to this organization in the NPPES registry on April 15, 2016.
Where is Edwin Kwon MD Inc located?
Edwin Kwon MD Inc is located at 520 S Kingsley Dr Apt 205, Los Angeles, CA 90020. The listed phone number is (415) 533-4493.
What is Edwin Kwon MD Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Edwin Kwon MD Inc enrolled in Medicare?
Yes. Edwin Kwon MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edwin Kwon MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Edwin Kwon MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Edwin Kwon MD Inc was last updated on April 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edwin Kwon Md Inc · NPI 1083068092
Clinic/Center organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since April 15, 2016.
## Identity
- **NPI:** 1083068092 (Entity type: Organization)
- **Enumerated:** April 15, 2016
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Edwin Kwon, OWNER
## Practice location
- **Address:** 520 S KINGSLEY DR, APT 205, Los Angeles, CA 90020-3504
- **Phone:** (415) 533-4493
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1083068092) · Data from the CMS NPPES public registry.