MRS. JENNIFER K JEONG (NPI# 1366050197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366050197 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER K JEONG |
| Credential | AGACNP |
| Practice Address |
3530 Wilshire Blvd Los Angeles CA 90010-2328 |
| Mailing Address |
845 S Mansfield Ave Apt 22 Los Angeles CA 90036-4980 |
| Practice Telephone | 8669833167 |
| Mailing Telephone | 3236522172 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95012506 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3530 WILSHIRE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90010-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427171727 | Nicole Whaley | Social Worker | 3530 Wilshire Blvd, Los Angeles, CA 90010-2328 | 2007-04-09 |
| 1700406709 | Proverbs Consulting Services, Inc. | Clinic/Center | 3530 Wilshire Blvd, Los Angeles, CA 90010-2328 | 2020-04-20 |
| 1245520238 | John Lee | Dentist | 3530 Wilshire Blvd, Sute #150, Los Angeles, CA 90010 | 2011-04-12 |
| 1003126673 | Joseph Loewenbein Md A Medical Corporation | Anesthesiology | 3530 Wilshire Blvd, Ste. #350, Los Angeles, CA 90010-2328 | 2010-10-18 |
| 1760689384 | Eloisa Gonzalez | Preventive Medicine | 3530 Wilshire Blvd, Suite 800, Los Angeles, CA 90010-2328 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
| 1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
| 1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
| 1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
| 1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
| 1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
| Find all providers in zip 90010 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1679123426 | Joanne Lan Yun Yang | Nurse Practitioner | 1540 Alcazar St Ste 215, Los Angeles, CA 90089-1029 | 2019-09-13 |
| 1265085773 | Linda M Kim | Nurse Practitioner | 1123 S Windsor Blvd, Los Angeles, CA 90019-3158 | 2019-07-23 |
| 1780157032 | Ana Valentinova Tchicaya | Nurse Practitioner | 300 Stein Plaza, Los Angeles, CA 90009 | 2019-01-09 |
| 1518435288 | Sariya Chayutipun | Nurse Practitioner | 2955 Veteran Ave, Los Angeles, CA 90064-9006 | 2018-11-11 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| 1427531490 | Izabela Harutyunyan | Nurse Practitioner | 127 S San Vicente Blvd Ste A3629, Los Angeles, CA 90048-3311 | 2018-09-14 |
| 1265923155 | Rose Moss | Nurse Practitioner | Ronald Regan Ucla Medical Center 757 Westwood Plaza, Los Angeles, CA 90095-1003 | 2018-05-25 |
| 1821514811 | Simran Grewal | Nurse Practitioner | 127 S San Vicente Blvd Ste A6100, Los Angeles, CA 90048-3311 | 2017-08-21 |
| 1902320450 | Arielle Donner | Nurse Practitioner | 8540 S Sepulveda Blvd Ste 1010, Los Angeles, CA 90045-3808 | 2017-07-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90010 |
Please comment or provide details below to improve the information on MRS. JENNIFER K JEONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.