Organization
JI SON MD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JI SON MD (CEO)
(949) 394-2784
Entity
Organization
Contact information
Practice address
5505 E SANTA ANA CANYON RD UNIT 17852, ANAHEIM, CA 92817-1241
(951) 268-7009
Mailing address
5505 E SANTA ANA CANYON RD UNIT 17852, ANAHEIM, CA 92817-1241
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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