Individual
DR. GRACE H. JEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1211 W LA PALMA AVE STE 705, ANAHEIM, CA 92801-2814
(714) 772-6701
(714) 772-5240
Mailing address
1211 W LA PALMA AVE STE 705, ANAHEIM, CA 92801-2814
(714) 772-6701
(714) 772-5240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G84081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G840810
—
CA
01
—
G84081
MEDICAL LICENSE NUMBER
CA
Enumeration date
07/12/2005
Last updated
10/28/2020
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