Healthcare Provider Details

I. General information

NPI: 1629936695
Provider Name (Legal Business Name): ACORN TELEMAT NURSING, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 PURPLE JASMINE
IRVINE CA
92620-3377
US

IV. Provider business mailing address

1950 W CORPORATE WAY # 60175
ANAHEIM CA
92801-5373
US

V. Phone/Fax

Practice location:
  • Phone: 714-922-0017
  • Fax: 714-364-5415
Mailing address:
  • Phone: 714-922-0017
  • Fax: 714-364-5415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAEWON JAEWON
Title or Position: NP
Credential:
Phone: 714-922-0017