Tae Yoon Won, NURSE PRACTITIONER

Nurse Practitioner · Stanton, CA

Individual Active NPI

NPI number 1356035653

Practice location

12362 Beach Blvd Ste 10
Stanton, CA 90680-3944
Phone
(714) 248-9500

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NPI record

NPI
1356035653
Entity type
Individual (Type 1)
Enumeration date
June 8, 2023
Last updated
October 18, 2023
Certified
October 18, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 95022157 CA

About Tae Won

Tae Yoon Won, NURSE PRACTITIONER is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 12362 Beach Blvd Ste 10, Stanton, CA 90680-3944. The NPI number 1356035653 was assigned on June 8, 2023 and the record was last updated on October 18, 2023.

Tae Won lists a license in the registry: #95022157 (CA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tae Yoon Won, NURSE PRACTITIONER?

The NPI number is 1356035653.

What is the phone number of Tae Won?

The phone number listed for the practice location is (714) 248-9500.

Where is Tae Won located?

12362 Beach Blvd Ste 10, Stanton, CA 90680-3944.

What is the taxonomy code for Tae Won?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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