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

Jae Wook Kwon, DO

Individual provider Family Medicine Physician · NPI 1558624957

Jae Wook Kwon, DO is a Family Practice in Fullerton, California. Qualified in 2012, 14 years ago. Practices with PIH Health Physicians, a 614-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
14
Licensed in
CA, NV
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone: (714) 449-6230
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5630 E Santa Ana Canyon Rd Ste 100, Anaheim, CA 92807-3122 — (714) 257-6170
  • 15855 Pomona Rincon Rd Bldg 4, Chino Hills, CA 91709-5572 — (909) 264-8666
  • 2501 E Chapman Ave Ste 101, Orange, CA 92869-3204 — (714) 628-3300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A16207 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence D01985 (NV)

Record details

NPI number1558624957
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2012
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address2251 N Harbor Blvd, Fullerton, CA 92835-2601

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pih Health Physicians — 614 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fullerton