Jiwon Helen Wyman MD PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JIWON HELEN WYMAN MD PC

Practice address

2372 Morse Ave
Irvine, CA 92614-6234

Phone

(714) 410-6516

NPI assigned

Nov 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jiwon Helen Wyman, MD

Title

Ceo

Phone

(714) 410-6516

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1265034839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 LAS GALLINAS AVE # 2030",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033618",
            "telephone_number": "714-410-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 MORSE AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146234",
            "telephone_number": "714-410-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIWON HELEN WYMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "JIWON HELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-410-6516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jin, MD
• Nicole Ying Jin
• Jennifer Jing
• Jingli Associates
• Naghmeh Jirvand, M.A.
• Andre Jizmejian
• Jkbrar, a Professional Nursing Corporation
• JLC Speech Therapy Inc
• Jane Tio Joaquin-Wu, M.D.
• Kylie Briann Joe, M. ED., BCBA

• Adult Mental Health Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.