Doctor profile · Federal record
Dr. Jae Kwak, D.M.D.
Pediatric Dentist · Dentist · Tustin, CA
- NPI 1033668355
- 10 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1631 Edinger Ave Ste 105
Tustin, CA 927806537
(714) 717-3757 - Mailing address
-
24635 Madison Ave
Murrieta, CA 925629751
Credentials & registration
- NPI registered
- September 2016 — 10 yrs on file
- Profile last updated
- March 2, 2023
- Specialty taxonomy
- 1223P0221X — NUCC code
- State licenses (2)
- California #102524 · Texas #32379
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1033668355. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Elevate Oral Care | 1 | $15.15 |
By nature of payment
Frequently asked questions
What is Dr. Jae Kwak's medical specialty?
Dr. Jae Kwak practices Pediatric Dentist in Tustin, CA.
Where does Dr. Jae Kwak practice?
Dr. Jae Kwak practices at 1631 Edinger Ave Ste 105, Tustin, CA 927806537. Office phone: 7147173757.
What is Dr. Jae Kwak's NPI?
Dr. Jae Kwak's National Provider Identifier (NPI) is 1033668355, issued by NPPES.