Provider Demographics
NPI:1134253909
Name:KWEON, HYUK SIN (DC)
Entity type:Individual
Prefix:MR
First Name:HYUK
Middle Name:SIN
Last Name:KWEON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 W WOODLAND DR STE 130
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2618
Mailing Address - Country:US
Mailing Address - Phone:714-828-2345
Mailing Address - Fax:714-828-2393
Practice Address - Street 1:2660 W WOODLAND DR STE 130
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2618
Practice Address - Country:US
Practice Address - Phone:714-828-2345
Practice Address - Fax:714-828-2393
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP953Medicare PIN