Healthcare Provider Details

I. General information

NPI: 1821916321
Provider Name (Legal Business Name): SUNGJIN KUON DO MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6281 BEACH BLVD STE 206
BUENA PARK CA
90621-4231
US

IV. Provider business mailing address

6281 BEACH BLVD STE 206
BUENA PARK CA
90621-4231
US

V. Phone/Fax

Practice location:
  • Phone: 949-276-3840
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SUNGJIN KUON
Title or Position: PRESIDENT
Credential: DO
Phone: 949-276-3840