Randy Kwon

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

13305 Mirasol
Irvine, CA 92620-0307

Phone

(949) 535-6234

NPI assigned

Feb 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1356974547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 MIRASOL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926200307",
            "telephone_number": "949-535-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 MIRASOL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926200307",
            "telephone_number": "949-535-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "RANDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Irvine",
            "affiliation": "N",
            "address_1": "13305 Mirasol",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926200307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Kwon
• Joung Soon Kwon, L.AC.
• Kelly Kwon
• Oh Seung Kwon
• Phoebe Kwon
• Brittany Kwong
• Rachel Chee-Gwan Kwong, DNP, FNP-C
• Kyaw Moe MD a Professional Corporation
• Aida Kyelula, RN
• Rose Kyler

• Occupational Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.