Individual
EDWARD H JEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23101 SHERMAN PL, SUITE 405, WEST HILLS, CA 91307-2003
(818) 347-3287
(818) 347-2472
Mailing address
23101 SHERMAN PL, SUITE 405, WEST HILLS, CA 91307-2003
(818) 347-3287
(818) 347-2472
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
A24941
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A249410
BLUE SHIELD
CA
05
—
00A249410
—
CA
Enumeration date
07/25/2006
Last updated
01/22/2010
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