Individual
DR. DAE HYOUN JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3490 CALIFORNIA ST STE 200, SAN FRANCISCO, CA 94118-1892
(415) 514-6200
(415) 514-6410
Mailing address
3490 CALIFORNIA ST STE 200, SAN FRANCISCO, CA 94118-1892
(415) 514-6200
(415) 514-6410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A142623
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A142623
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
A142623
CA
224Y00000X
Clinical Exercise Physiologist
A142623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036135215
—
IL
Enumeration date
07/05/2011
Last updated
11/05/2025
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