Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gi Ryoung Kwon, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1134708100

Gi Ryoung Kwon, DPM is a Podiatry in Santa Monica, California. Graduated from New York College of Podiatric Medicine in 2021, 5 years ago. Practices with University Foot and Ankle Institute a Podiatric Surgical Center, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
New York College of Podiatric Medicine
Licensed in
CA
In the registry since
2021
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2121 Wilshire Blvd Ste 101
Santa Monica, CA 90403-5742
Phone: (201) 723-4661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E6036 (CA)

Record details

NPI number1134708100
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice University Foot And Ankle Institute A Podiatric Surgical Center — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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