Provider Demographics
NPI:1134253909
Name:KWEON, THOMAS HYUK (DC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:HYUK
Last Name:KWEON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2660 W WOODLAND DR STE 130
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2618
Mailing Address - Country:US
Mailing Address - Phone:714-828-2345
Mailing Address - Fax:714-828-2393
Practice Address - Street 1:14150 CULVER DR STE 307
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-0323
Practice Address - Country:US
Practice Address - Phone:949-932-0612
Practice Address - Fax:949-656-7080
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP953Medicare PIN