Individual
CHANMIN JEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 S VIRGIL AVE STE 206, LOS ANGELES, CA 90020-1443
(213) 622-0021
Mailing address
2321 W 10TH ST UNIT 201, LOS ANGELES, CA 90006-2246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95037498
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95037498
CA
Other
Enumeration date
11/04/2025
Last updated
05/08/2026
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