Sophia S Jeon, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

15107 Issued in CA

Practice address

15592 Marnie PL
Fontana, CA 92336-4595

Phone

(213) 703-1441

NPI assigned

Dec 20, 2013

Last updated

Aug 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• S Acupuncture

  • Acupuncturist
  • Claremont, CA
  • NPI 1336557487
  Authorized official Same address or phone

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1376964122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST STE 312",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114740",
            "telephone_number": "909-625-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15592 MARNIE PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364595",
            "telephone_number": "213-703-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "SOPHIA",
        "middle_name": "S",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy E Jenkins-Etter, OTR
• Carla Jenkins-Skelton
• Hertha Jenkins
• Timothy D. Jenkins, MD
• Stephanie Jensen, MD
• Jason Jia, MD
• Clara Jimenez
• Evangelina Jimenez, INTERPRETING
• Joanne Marie Jimenez
• Kalila Jimenez

• Acupuncturist in Fontana, CA
• Providers in Fontana, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.