DO HYUNG KWON JEONG
Student in an Organized Health Care Education/Training Program

Address: 4150 Clement St, San Francisco, CA 94121-1563

DO HYUNG KWON JEONG (NPI# 1629661533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629661533
Entity Type Individual
Full Name DO HYUNG KWON JEONG
Gender Male
Credential DMD
Practice Address 4150 Clement St
San Francisco
CA 94121-1563
Practice Telephone 4152214810
Mailing Address 345 Suncrest Cir
Brea
CA 92821-4428
Mailing Telephone 4155167390
Certification Date 2021-02-24
Enumeration Date 2021-02-11
Last Update Date 2021-02-24
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4150 CLEMENT ST
City SAN FRANCISCO
State CA
Zip Code 94121-1563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366037954 Sharon Malinowski Psychologist 4150 Clement St, San Francisco, CA 94121-1563 2021-03-04
1194319525 Russell Chin Respiratory Therapist, Certified · Geriatric Care 4150 Clement St, San Francisco, CA 94121-1563 2021-02-25
1114510419 Kimberly Chen Dietitian, Registered 4150 Clement St, San Francisco, CA 94121-1563 2021-02-17
1760073886 Joshua David Seeberger Student in an Organized Health Care Education/Training Program 4150 Clement St, San Francisco, CA 94121-1563 2021-02-01
1780274720 Thomas Jennings Student in an Organized Health Care Education/Training Program 4150 Clement St, San Francisco, CA 94121-1563 2021-01-23
1659960565 Julia Nakad Nurse Practitioner · Family 4150 Clement St, San Francisco, CA 94121-1563 2021-01-14
1033705504 Natalie Sooja Bacha · Natalie Sooja Pacheco Orthotist 4150 Clement St, San Francisco, CA 94121-1563 2020-12-17
1720683907 Sharmayne Bernice Yusuff Recreation Therapist 4150 Clement St, San Francisco, CA 94121-1563 2020-12-03
1386243954 Jennifer Malcolm Social Worker · Clinical 4150 Clement St, San Francisco, CA 94121-1563 2020-10-23
1952908915 Edmund Frank Lee Social Worker · Clinical 4150 Clement St, San Francisco, CA 94121-1563 2020-10-02
Find all providers in the same address

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1215528468 Jason Tan Community Health Worker 6621 Geary Blvd 2nd Floor, San Francisco, CA 94121 2021-01-31
1548817182 Harmony Martinez Marriage & Family Therapist 3626 Balboa St, San Francisco, CA 94121 2019-08-19
1295218022 Emily Collette Student in an Organized Health Care Education/Training Program 3626 Balboa St, San Francisco, CA 94121 2018-09-07
1326528498 Reem Abu Hweij Student in an Organized Health Care Education/Training Program 3626 Balboa St, San Francisco, CA 94121 2018-08-18
1235625898 Ana L Frias-Bravo Student in an Organized Health Care Education/Training Program 3626 Balboa St, San Francisco, CA 94121 2018-07-06
1982199204 Amir Tavari Student in an Organized Health Care Education/Training Program 3626 Balboa St, San Francisco, CA 94121 2018-06-28
1316443815 Joanne Mott Community Health Worker Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 2018-04-03
1851897359 Jeffrey Cheng Community Health Worker Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 2018-04-03
1750887253 Thomas Ladd Community Health Worker Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 2018-04-03
1659885341 Ida Poberezovsky Community Health Worker 3626 Balboa Street, San Francisco, CA 94121 2017-11-17
Find all providers in zip 94121

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932794591 Vanessa Canales 2130 Fulton St, San Francisco, CA 94117-1080 2021-03-05
1821683954 Brady Lee Smith 155 5th St, San Francisco, CA 94103-2919 2021-03-01
1003400656 Thao Luong 160 Capp St, San Francisco, CA 94110-1210 2021-02-24
1407440043 Alex Kryger 101 Woodland Ave, San Francisco, CA 94117-3862 2021-02-24
1174117949 Anni Bui 2130 Fulton St, San Francisco, CA 94117-1080 2021-02-23
1598358814 Alice Wu 1630 Ocean Ave, San Francisco, CA 94112-1718 2021-02-17
1538751078 Kristen A Wolaver 1563 Mcallister St, San Francisco, CA 94115-4461 2021-02-05
1760073886 Joshua David Seeberger 4150 Clement St, San Francisco, CA 94121-1563 2021-02-01
1003407289 Brian Gac 760 Harrison St, San Francisco, CA 94107-1235 2021-01-29
1558951574 Matthew Joshua Sun 4150 Clement Street, Bldg 200- 1st Floor. Dental Service., San Francisco, CA 94121 2021-01-23
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94121

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Dataset Information

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.