Organization
EDWARD H. JEON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE KLEIN (BILLING MANAGER)
(805) 239-9055
Entity
Organization
Contact information
Practice address
23101 SHERMAN PL STE 405, WEST HILLS, CA 91307-2033
(818) 347-3287
Mailing address
23101 SHERMAN PL STE 405, WEST HILLS, CA 91307-2033
(818) 347-3287
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
A24941
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A249410
BLUE SHIELD
CA
05
—
00A249410
—
CA
01
—
DF6160
RAILROAD MEDICARE
CA
Enumeration date
09/20/2007
Last updated
01/20/2010
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