Healthcare Provider Details

I. General information

NPI: 1962337857
Provider Name (Legal Business Name): SEOHYUN KWON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25186 HANCOCK AVE STE 100
MURRIETA CA
92562-5998
US

IV. Provider business mailing address

25186 HANCOCK AVE STE 100
MURRIETA CA
92562-5998
US

V. Phone/Fax

Practice location:
  • Phone: 951-461-4617
  • Fax:
Mailing address:
  • Phone: 714-369-9260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC35073
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: