Edward H. Jeon, M.D.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

A24941 Issued in CA

Legal business name

EDWARD H. JEON, M.D.

Practice address

23101 Sherman PL Ste 405
West Hills, CA 91307-2033

Phone

(818) 347-3287

NPI assigned

Sep 20, 2007

Last updated

Jan 20, 2010By 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

Jeanine Klein

Title

Billing Manager

Phone

(805) 239-9055

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward H Jeon, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • West Hills, CA
  • NPI 1386667129
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1891981098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL STE 405",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072033",
            "telephone_number": "818-347-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL STE 405",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072033",
            "telephone_number": "818-347-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD H. JEON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "805-239-9055"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "A24941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A249410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF6160",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A249410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neuromusculoskeletal Medicine & OMM Physician in West Hills, CA
• Providers in West Hills, CA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.