Debora Jeong, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

109516 Issued in CA

Practice address

9434 Firestone Blvd
Downey, CA 90241-5504

Phone

(562) 803-9999

Fax

(562) 803-6369

NPI assigned

Sep 22, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

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

• Won Jung Jeong DDS Inc

  • General Practice Dentistry
  • Downey, CA
  • NPI 1942759089
  NPD (past)
• Won Jung Jeong,DDS,Inc.

  • Dentist
  • Los Angeles, CA
  • NPI 1821246513
  NPD (past)

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1861271512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 FLORA VISTA ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065066",
            "telephone_number": "562-445-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415504",
            "telephone_number": "562-803-9999",
            "fax_number": "562-803-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "DEBORA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Jefferson
• Danyelle Jenkins
• La Shona Sheri Jenkins, DSW, LCSW
• Shanika Jenkins
• Abraham Ganguk Jeong, DDS
• Erwin W.S. Jeong, PHARM.D.
• Mary Meri Jeong, ACUPUNCTURIST
• Jesusa N. Romero, MD, a Professional Corporation
• Wang Ji, M.D.
• Jillyn Amoroso OD Inc

• Dentist in Downey, CA
• Providers in Downey, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.