Individual provider · Type 1 NPI

Il Seok Daniel Jeong

Student in an Organized Health Care Education/Training Program · Sylmar, CA

NPI number 1861071565 Active

Practice location

14445 Olive View Dr
Sylmar, CA 91342-1437

Call (747) 210-3000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1861071565

Il Seok Daniel Jeong's National Provider Identifier is 1861071565, issued on Apr 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sylmar, CA. The record was last updated on Jan 6, 2023.