SJ Byeon Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A103605 Issued in CA

Legal business name

SJ BYEON MEDICAL CORP

Practice address

19115 Colima Rd Unit 102
Rowland Heights, CA 91748-3074

Phone

(626) 912-2911

Fax

(626) 810-5232

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Sangjun Byeon, M.D.NPI 1659574945

Title

President

Phone

(626) 912-2911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sangjun Byeon, MD

  • Family Medicine Physician
  • Rowland Heights, CA
  • NPI 1659574945
  Medicare reassignment Authorized official
• Chung Hoon Kang, MD

  • Pediatrics Physician
  • Rowland Heights, CA
  • NPI 1497841746
  NPD (past)
• Joon Kang, MD

  • Family Medicine Physician
  • Rowland Heights, CA
  • NPI 1811083165
  NPD (past)
• Allison Brett Hetrick, FNP-C

  • Family Nurse Practitioner
  • Decatur, AL
  • NPI 1144091943
  NPD (past)
• Tracy L Pool, MD

  • Family Medicine Physician
  • Tanner, AL
  • NPI 1588690481
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1942551718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 COLIMA RD UNIT 102",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483074",
            "telephone_number": "626-912-2911",
            "fax_number": "626-810-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19115 COLIMA RD UNIT 102",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483074",
            "telephone_number": "626-912-2911",
            "fax_number": "626-810-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ BYEON MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "BYEON",
        "authorized_official_first_name": "SANGJUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-912-2911",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A103605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Wong RH Dental Group Inc
• Moe Myint Kyal Sin
• Gurjeet Singh
• Alexis Sirimaturos
• Jiahui Situ
• Valajia Smith
• Emily K So, O.D.
• Kristin Sohn
• Katya Sokol
• Beatriz Solis-Prieto

• Family Medicine Physician in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.