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DR. THEODORE H KWON MD
NPI 1760408470
General Practice in Garden Grove, CA

Active since July 14, 2006PECOS Enrolled
9042 GARDEN GROVE BLVD, 299, GARDEN GROVE, CA 92844(714) 590-0001(714) 590-0007 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore H Kwon Md NPPES

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

DR. THEODORE H KWON MD (NPI 1760408470) is an individual general practice provider in Garden Grove, California, licensed in California (A35852) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760408470
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. THEODORE H KWONCredential: MD
Location Address9042 GARDEN GROVE BLVD, 299Garden Grove, CA 92844-1370
Mailing AddressPo Box 1557La Mirada, CA 90637-1557 · (213) 300-0010 · Fax (714) 590-0007
Phone(714) 590-0001
Fax(714) 590-0007
Sole ProprietorYes
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 5, 2008
✔ NPI 1760408470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A35852
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License A35852 (CA)
9042 GARDEN GROVE BLVD, Garden Grove, CA 92844
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Other Identifiers 5

Medicare ID-Type UnspecifiedA35852CA
Medicaid00A358520CA
Medicare UPIND34056CA
OtherA35852CA · Most Insurance Co
Other00A358520CA · Most Insurance Co

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore H Kwon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

DR. CHULWOO CHO D.C.
Chiropractor
9042 GARDEN GROVE BLVD, 299
GARDEN GROVE, CA 92844
Orange County (714) 590-0001
YOUNG T WON MD INC
Family Medicine
9042 GARDEN GROVE BLVD, # 200
GARDEN GROVE, CA 92844
Orange County (714) 523-7575
EUNSOOK CHO LAC.
Acupuncturist
9042 GARDEN GROVE BLVD, SUITE 120
GARDEN GROVE, CA 92844
Orange County (714) 638-5071
SUNGMO CHIROPRACTIC CLINIC
Chiropractor
9042 GARDEN GROVE BLVD, SUITE 299
GARDEN GROVE, CA 92844
Orange County (714) 590-0001

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 Theodore Kwon's NPI number?

The NPI number for Theodore Kwon is 1760408470. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Theodore Kwon located?

Theodore Kwon practices at 9042 Garden Grove Blvd 299, Garden Grove, CA 92844. The listed phone number is (714) 590-0001.

What is Theodore Kwon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Theodore Kwon enrolled in Medicare?

Yes. Theodore Kwon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Kwon was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.