Provider Demographics
NPI:1043527492
Name:CHEON, SEONG JUN
Entity Type:Individual
Prefix:MR
First Name:SEONG
Middle Name:JUN
Last Name:CHEON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7825 ENGINEER RD STE 209
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-1927
Mailing Address - Country:US
Mailing Address - Phone:858-576-2511
Mailing Address - Fax:858-576-2511
Practice Address - Street 1:7825 ENGINEER RD STE 209
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1927
Practice Address - Country:US
Practice Address - Phone:858-576-2511
Practice Address - Fax:858-576-2511
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7216171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist