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TAEGEUN KWON
NPI 1396530036
Student in an Organized Health Care Education/Training Program in San Bernardino, CA

Active since April 14, 2025
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404(310) 213-7905 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taegeun Kwon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAEGEUN KWON (NPI 1396530036) is an individual student in an organized health care education/training program in San Bernardino, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1396530036
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTAEGEUN KWON
Location Address2101 N WATERMAN AVESan Bernardino, CA 92404-4836
Mailing Address1609 W 183rd StGardena, CA 90248-3801 · (310) 213-7905
Phone(310) 213-7905
Sole ProprietorNo
Enumeration DateApril 14, 2025
NPPES CertifiedApril 13, 2025
✔ NPI 1396530036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
2101 N WATERMAN AVE, San Bernardino, CA 92404
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS WALTHER PA-C
Physician Assistant (Medical)
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
DR. GIAN CHRISTIAN TONGSON IGNACIO MD
Student in an Organized Health Care Education/Training Program
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (818) 282-2085
FASIHA NAZIR
Student in an Organized Health Care Education/Training Program
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
DEVAL DAVE PA
Physician Assistant
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
ALYSSA HOGUE
Pharmacy Technician
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
DR. ARIN VANESSA COLLIN MD
Student in an Organized Health Care Education/Training Program
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
DAVID D. TITO M.D.
Emergency Medicine
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
ROBERT DEVORE, JR., M.D., INC
Anesthesiology
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (800) 883-7243

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 Taegeun Kwon's NPI number?

The NPI number for Taegeun Kwon is 1396530036. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Taegeun Kwon located?

Taegeun Kwon practices at 2101 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (310) 213-7905.

What is Taegeun Kwon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Taegeun Kwon was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.