Dr. Ha Ra Jeon
Dental Public Health
2492 Walnut Ave Ste 200
Tustin
, California 92780-6960
Dr. Ha Ra Jeon
Dental Public Health
2492 Walnut Ave Ste 200
Tustin
, California 92780-6960
(949) 679-6001
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Ha Ra Jeon
- 2492 Walnut Ave Ste 200
- Tustin, CA
- Zip : 92780-6960
- Fax : (949) 679-6001
- Phone : (949) 679-6000
Second Address
- Dr. Ha Ra Jeon
- 2492 Walnut Ave Ste 200
- Tustin, CA
- Zip : 92780-6960
- Fax : (949) 679-6001
- Phone : (949) 679-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 101866 | CA |
National Provider Identifier
| NPI | 1629610738 |
|---|---|
| Provider Name | Dr. Ha Ra Jeon |
| First Address | Tustin, CA 92780-6960 |
| Second Address | Tustin, CA 92780-6960 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2019 |
| Last Update Date | 09/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.