Provider Demographics
NPI:1245456763
Name:JEON, DANBI (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:DANBI
Middle Name:
Last Name:JEON
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23349 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3027
Mailing Address - Country:US
Mailing Address - Phone:661-799-7369
Mailing Address - Fax:661-799-7369
Practice Address - Street 1:23349 LYONS AVE
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3027
Practice Address - Country:US
Practice Address - Phone:661-799-7369
Practice Address - Fax:661-799-7369
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4995171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist