MEDICARE: ROBERT SUNG GIL KWON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	A63998	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01730037	OTHER	CA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4144250	OTHER	CA	CIGNA
3	7060429	OTHER	CA	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841294337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT SUNG GIL KWON MD

Provider Business Mailing Address
First Line	:	24302 PASEO DE VALENCIA
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3115
Country	:	US
Telephone Number	:	949-452-8880
Fax Number	:

Provider Business Practice Location Address
First Line	:	24302 PASEO DE VALENCIA
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3115
Country	:	US
Telephone Number	:	949-452-8880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/09/2026

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