Grace H Jeon M D M P H F a C S a Professional Corporation
Grace H Jeon M D M P H F a C S a Professional Corporation provides Surgery Physician services in Anaheim, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1211 W La Palma Ave Ste 705Anaheim, CA 92801-2814
Phone: (714) 772-6701
Fax: (714) 772-5240
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence G84081 (CA) |
|---|
Record details
| NPI number | 1417168758 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Grace Jeon — President · (818) 720-7113 |
| NPI enumerated | May 25, 2007 |
| Last updated in NPPES | October 28, 2020 |
| Certification date | October 28, 2020 |
| Mailing address | 1211 W La Palma Ave Ste 705, Anaheim, CA 92801-2814 |
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