DR. HENRY SANG KWON (NPI# 1982816542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982816542 |
| Entity Type | Individual |
| Full Name | DR. HENRY SANG KWON |
| Credential | D.D.S. |
| Practice Address |
2836 W Rialto Ave # A Rialto CA 92376-6743 |
| Practice Telephone | 9098209454 |
| Practice Fax Number | 9098209482 |
| Mailing Telephone | 9098209454 |
| Mailing Fax Number | 9098209482 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
47505 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL PIN # | 520924 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659990828 | Henry Yong-il Kwon | Student in an Organized Health Care Education/Training Program | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-04-08 |
| Street Address |
2836 W RIALTO AVE # A |
| City | RIALTO |
| State | CA |
| Zip Code | 92376-6743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141812 | Sochun Operation, Inc. | Assisted Living Facility | 1441 S. Riverside Ave., Rialto, CA 92376 | 2019-02-25 |
| 1487138244 | National Vision Inc | Technician/Technologist | 1175 Renaissance Parkway, Suite 1050, Rialto, CA 92376 | 2018-09-18 |
| 1942780853 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 1205 W Renaissance Pkwy, Suite 240, Rialto, CA 92376 | 2018-08-20 |
| 1114430238 | Li Watkins | Nurse Practitioner | 280 N Riverside Avenue, Rialto, CA 92376 | 2017-11-10 |
| 1346767837 | Imelda Jazmin Ceja Nunez | Behavioral Analyst | 462 E Wilson St, Rialto, CA 92376 | 2017-08-24 |
| 1720505662 | Taylor Sandoval | Behavioral Analyst | 2935 Cardamon St, Rialto, CA 92376 | 2017-08-22 |
| 1427572510 | Danielle Mccree | Physical Therapy Assistant | 1470 N Filmore Ave, Rialto, CA 92376 | 2017-07-31 |
| 1639699952 | Albert Anthony Torres | Specialist/Technologist | 1008 N. Pampas Ave., Rialto, CA 92376 | 2017-06-27 |
| 1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
| 1205233483 | Albert Archuleta | Counselor | 1501 Riverside Ave, Rialto, CA 92376 | 2014-12-03 |
| Find all providers in zip 92376 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861030900 | Lilian Adel Mikhail | Dentist | 2483 N Lancewood Ave, Rialto, CA 92377-8433 | 2019-12-19 |
| 1942780853 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 1205 W Renaissance Pkwy, Suite 240, Rialto, CA 92376 | 2018-08-20 |
| 1508319153 | Min Jeong Cho | Dentist | 2019 N Riverside Ave # C, Rialto, CA 92377 | 2016-08-01 |
| 1407273030 | Cornerstone Dental Care Inc | Dentist | 2836 W Rialto Ave, # A, Rialto, CA 92376-6816 | 2014-03-20 |
| 1003259268 | Patelprofessional Dental Corp. | Dentist | 579 E Foothill Blvd, Rialto, CA 92376-5223 | 2013-04-08 |
| 1124382296 | Esparza Dentistry | Dentist | 786 E Foothill Blvd, Ste D, Rialto, CA 92376-5285 | 2012-07-03 |
| 1972877231 | Elizabeth L Giles | Dentist | 350 N Riverside Ave, Rialto, CA 92376-5926 | 2012-03-05 |
| 1912226804 | Kim&park A Dental Corporation | Dentist | 1374 W Foothill Blvd Ste 2e, Rialto, CA 92376-4621 | 2010-05-18 |
| 1760685374 | Barbara Gray | Dentist | 1725 N Riverside Ave, Rialto, CA 92376-8062 | 2007-06-09 |
| 1184837023 | Judith K Wipf | Dentist | 1745 N Riverside Ave, Rialto, CA 92376-8062 | 2007-05-08 |
| Find all providers in RIALTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.