Edward H Jeon
Sports Medicine Doctor
23101 Sherman Pl Suite 405
West Hills
, California 91307-2003
Edward H Jeon
Sports Medicine Doctor
23101 Sherman Pl Suite 405
West Hills
, California 91307-2003
(818) 347-2472
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Edward H Jeon
- 23101 Sherman Pl Suite 405
- West Hills, CA
- Zip : 91307-2003
- Fax : (818) 347-2472
- Phone : (818) 347-3287
Second Address
- Edward H Jeon
- 23101 Sherman Pl Suite 405
- West Hills, CA
- Zip : 91307-2003
- Fax : (818) 347-2472
- Phone : (818) 347-3287
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | A24941 | CA |
National Provider Identifier
| NPI | 1386667129 |
|---|---|
| Provider Name | Edward H Jeon |
| First Address | West Hills, CA 91307-2003 |
| Second Address | West Hills, CA 91307-2003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 22/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A249410 | (05) | CA |
| 00A249410 | BLUE SHIELD (01) | CA |
| A83143 | (02) | CA |
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.