Shyun Jeng M.D. Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A053363 Issued in CA

Legal business name

SHYUN JENG M.D. INC

Practice address

21350 Hawthorne Blvd Ste 168
Torrance, CA 90503-5612

Phone

(310) 792-9229

Fax

(310) 316-7117

NPI assigned

Aug 23, 2007

Last updated

Aug 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shyun Jeng, M.D.

Title

Owner

Phone

(310) 792-9229

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1609069590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21350 HAWTHORNE BLVD STE 168",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035612",
            "telephone_number": "310-792-9229",
            "fax_number": "310-316-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21350 HAWTHORNE BLVD STE 168",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035612",
            "telephone_number": "310-792-9229",
            "fax_number": "310-316-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYUN JENG M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "JENG",
        "authorized_official_first_name": "SHYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-792-9229",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A053363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NHIC",
            "identifier": "31146",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Shum, DPM
• Angela Yang Shvartsman
• Maytal Shvartz
• Mary Beth Shwayder, MD
• Stephen Joseph Shymon, M.D.
• Avi Siani
• William Edwin Sibley
• Seemi Siddique, FNP
• Harpreet Sidhu, M.D.
• Lillian Sidky, MD

• Ophthalmology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.