Sang Don Jeon

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19416 Issued in CA

Practice address

24881 Alicia Pkwy Ste N
Laguna Hills, CA 92653-4617

Phone

(949) 707-7100

Fax

(424) 340-2467

NPI assigned

Sep 28, 2022

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Daniel Medical Group, Inc.

  • Acupuncturist
  • Gardena, CA
  • NPI 1396147682
  NPD (past)

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1568186005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 W REDONDO BEACH BLVD STE F",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473642",
            "telephone_number": "714-340-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24881 ALICIA PKWY STE N",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534617",
            "telephone_number": "949-707-7100",
            "fax_number": "424-340-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "SANG DON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JC & DC Incorporated
• Erin Kathleen Jechart
• Edward W.B. Jeffes III, M.D.
• Jennifer Channual MD Inc
• Melinda Jennings, RN-C, NP
• Jerald R Stafford MD Inc
• Jeremy la Motte MD (Starwest Medical Group)
• Alissa Jeske, MED, ATC
• Danielle Marie Jette-Lee, OTR/L
• Jack Jewelinski

• Acupuncturist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.