Individual
JAEYEONG HEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-3897
Mailing address
21249 GREENBROOK DR, WALNUT, CA 91789-2043
(909) 282-7303
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
61479190
WA
Other
Enumeration date
04/19/2019
Last updated
10/16/2023
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