Individual provider Active NPI

Lauren Min Jeon, PA-C

  • Medical Physician Assistant
  • Whittier, CA
National Provider Identifier
1689558439
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA66625 Issued in CA
Practice address
8135 Painter Ave Ste 103
Whittier, CA 90602-3171
Phone
(562) 698-6888
Fax
(562) 698-5255
NPI assigned
Aug 4, 2025
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA66625 CA Primary

Addresses

Primary practice location

8135 Painter Ave Ste 103
Whittier, CA 90602-3171

Mailing address

8135 Painter Ave Ste 103
Whittier, CA 90602-3171
Phone (562) 698-6888

Other names 1

  • Min Kyung Jeon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230001864 CA Practitioner - Physician Assistant 3870089733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18000 Studebaker Rd
Suite 800
Cerritos, CA 90703-2646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA66625CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
House Medicine CurrentSince Oct 17, 2025 Accepting new patients

Locations

1658 W Valley Blvd
Ste 220
Alhambra, CA 91803
Phone (626) 389-3762

900 S Main St
Ste 101
Corona, CA 92882

1206 W Avenue J
Lancaster, CA 93534

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1689558439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 PAINTER AVE STE 103",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023171",
            "telephone_number": "562-698-6888",
            "fax_number": "562-698-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 PAINTER AVE STE 103",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023171",
            "telephone_number": "562-698-6888",
            "fax_number": "562-698-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "LAUREN",
        "middle_name": "MIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA66625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIN",
            "last_name": "JEON",
            "middle_name": "KYUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.