Active NPI
Seokwon Kwon, D.D.S.
- Dentist
- Corona, CA
National Provider Identifier
1811440258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108713
- Practice address
- 2083 Compton Ave Ste 204
Corona, CA 92881-3416 - Phone
- (951) 406-6392
- NPI assigned
- Aug 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857557 | MA | |
| Dentist | 122300000X | 062458 | NY | |
| Dentist | 122300000X | 108713 | CA | Primary |
| Dentist | 122300000X | 012252 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2083 Compton Ave Ste 204
Corona, CA 92881-3416
Mailing address
13133 Harbor Blvd
Garden Grove, CA 92843-1717
Phone (145) 378-7707
Other practice location 1
31646 Dunlap Blvd
Yucaipa, CA 92399-1689
Phone (909) 794-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012252 | CT | MD | Dentist |
| DN1857557 | MA | MD | Dentist |
| 062458 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Le Patrick Kha DMD Professional Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba comfort dental
- General Practice Dentistry
- Garden Grove, CA
- NPI 1396938585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1811440258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13133 HARBOR BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431717",
"telephone_number": "145-378-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2083 COMPTON AVE STE 204",
"city": "CORONA",
"state": "CA",
"postal_code": "928813416",
"telephone_number": "951-406-6392"
}
],
"practiceLocations": [
{
"address_1": "31646 Dunlap Blvd",
"address_purpose": "LOCATION",
"city": "Yucaipa",
"state": "CA",
"postal_code": "923991689",
"country_code": "US",
"telephone_number": "909-794-4909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWON",
"first_name": "SEOKWON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-02",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857557",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062458",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108713",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "012252",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.