Individual provider · Type 1 NPI

Moonsun Jeong, NURSE PRACTITIONER

Family Nurse Practitioner · Los Angeles, CA

NPI number 1740863828 Active

Practice location

3255 Wilshire Blvd Ste 120
Los Angeles, CA 90010-1405

Fax (213) 355-8714

Mailing address

3727 W 6th St Ste 210
Los Angeles, CA 90020-5108

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95017339 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1740863828

Moonsun Jeong, NURSE PRACTITIONER's National Provider Identifier is 1740863828, issued on May 5, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 16, 2021.