| Grace Eun Kwon, DO | |
|
17452 Irvine Blvd Ste 213, Tustin, CA 92780-3031 | |
| (714) 371-6977 | |
| (800) 836-2401 |
| Full Name | Grace Eun Kwon |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 16 Years |
| Location | 17452 Irvine Blvd Ste 213, Tustin, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326347873 | NPI | - | NPPES |
| 008059045 | Other | CT | KWON MEDICAID |
| D400248447 | Other | CT | KWON MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A12013 (California) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 20A12013 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grace Kwon Corporation | 4688160476 | 2 |
| Harbor Psychiatry And Mental Health Professional Corporation | 8729394572 | 19 |
| Entity Name | Harbor Psychiatry & Mental Health Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780050054 PECOS PAC ID: 8729394572 Enrollment ID: O20150825004062 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Eun Kwon, DO 10212 Cowan Heights Dr, Santa Ana, CA 92705-1566 Ph: (310) 753-5805 | Grace Eun Kwon, DO 17452 Irvine Blvd Ste 213, Tustin, CA 92780-3031 Ph: (714) 371-6977 |
Dr. Khaled Adam Anees, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13217 Jamboree Rd Ste 301, Tustin, CA 92782 Phone: 949-333-9000 | |
Dr. Joseph Kelly, PHD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 228 W Main St, Tustin, CA 92780 Phone: 949-558-4925 | |
Dr. Amor S. Del Mundo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 180 S Prospect Ave, Suite 140 B, Tustin, CA 92780 Phone: 714-310-0798 Fax: 714-508-6791 | |
Madhu K Katakia, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18062 Irvine Blvd, 200, Tustin, CA 92780 Phone: 714-505-6030 Fax: 714-505-6032 | |
Dr. Alireza Bozorgi, M.D., Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 E 1st St Ste B, Tustin, CA 92780 Phone: 714-819-0000 Fax: 714-406-3630 | |
Neil P Butani, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2620 Walnut Ave Ste D, Tustin, CA 92780 Phone: 714-888-5766 |