KWS Neuro Group

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KWS NEURO GROUP

Practice address

4645 Cass St Ste 204
San Diego, CA 92109-2848

Phone

(619) 820-9442

NPI assigned

Dec 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keith Alan Blankenship

Title

Ceo

Phone

(619) 820-9442

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1225992068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8584 CLIFFRIDGE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372110",
            "telephone_number": "619-820-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 CASS ST STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092848",
            "telephone_number": "619-820-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWS NEURO GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-820-9442"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Kwon
• Michael Soon Il Kwon, M.D.
• Timothy Kwon Kwon
• Connie Chia-Lin Kwong, PHARM.D
• Timothy Kwong, ATC
• Julie Ann Esungga Ky
• Leng T Ky, MD
• Lin Kyaung
• Cassandra Kyaw
• Grace Twumwaah Kyei

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.