BOM SEOK JEON (NPI# 1295175859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295175859 |
| Entity Type | Individual |
| Full Name | BOM SEOK JEON |
| Practice Address |
1401 S Brookhurst Rd Ste 104 Fullerton CA 92833-4492 |
| Mailing Address |
1401 S Brookhurst Rd Ste 104 Fullerton CA 92833-4492 |
| Practice Telephone | 7148792828 |
| Practice Fax Number | 7148792226 |
| Mailing Telephone | 7148792828 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2017-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
62451 | CA | Dental Providers |
| Street Address |
1401 S BROOKHURST RD STE 104 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-4492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669493094 | Richard Soung Bien | Physical Therapist | 1401 S Brookhurst Rd, Suite 105, Fullerton, CA 92833-4403 | 2006-07-21 |
| 1952852204 | Faith Mideum Lee | Pharmacist | 1401 S Brookhurst Rd, Fullerton, CA 92833-4471 | 2016-10-21 |
| 1962867663 | Fresenius Medical Care Orange County, LLC | Clinic/Center | 1401 S Brookhurst Rd, Ste 108/109, Fullerton, CA 92833-4492 | 2015-12-22 |
| 1669870473 | John C. Kang, Md, A Professional Corporation | Surgery | 1401 S Brookhurst Rd, Suite 111, Fullerton, CA 92833-4471 | 2014-12-10 |
| 1861767378 | Bio-medical Applications of California Inc. | Clinic/Center | 1401 S Brookhurst Rd, Fullerton, CA 92833-4471 | 2012-03-16 |
| 1407096332 | Paul Choong Hwan Lee Md A Medical Corporation | Ophthalmology | 1401 S Brookhurst Rd, Suite 105, Fullerton, CA 92833-4471 | 2009-03-05 |
| 1164692745 | Fullerton Medical Pharmacy Inc | Pharmacy | 1401 S Brookhurst Rd, Ste 101, Fullerton, CA 92833-4471 | 2008-03-10 |
| 1104933183 | Specialty Medical Center, Inc | Internal Medicine | 1401 S Brookhurst Rd, Suit 100, Fullerton, CA 92833 | 2006-08-24 |
| 1699789479 | Joy Hyunae Kim | Chiropractor | 1401 S Brookhurst Rd, Ste 103, Fullerton, CA 92833-4471 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689215998 | Younjin Lee | Dentist | 2513 Tiffany Pl, Fullerton, CA 92833-1527 | 2019-10-08 |
| 1407400047 | Baher Bassili | Dentist | 137 W Chapman Ave, Fullerton, CA 92832-1473 | 2019-08-01 |
| 1144791377 | Romi Rajul Patel | Dentist | 2613 Geneva Pl, Fullerton, CA 92833-2023 | 2018-12-16 |
| 1225539687 | Michael Han Dental Corp. | Dentist | 1460 N Harbor Blvd Ste 120, Fullerton, CA 92835-4158 | 2018-02-21 |
| 1063864114 | Aaron Au | Dentist | 301 W Bastanchury Rd Ste 20, Fullerton, CA 92835-3422 | 2016-07-12 |
| 1669866687 | Byun and Patel, A Dental Corporation | Dentist | 1105 S Euclid St, Suite E, Fullerton, CA 92832-2850 | 2015-03-27 |
| 1366858391 | Ryoo Dental, Inc | Dentist | 2240 N Harbor Blvd Ste 110, Fullerton, CA 92835-2636 | 2014-07-10 |
| 1053753350 | Brian Tadang | Dentist | 385 E Commonwealth Ave, Fullerton, CA 92832-2016 | 2013-07-27 |
| 1720427511 | John Marius Bodnar | Dentist | 2607 Taft Court, Fullerton, CA 92835 | 2013-06-14 |
| 1114364395 | Pham and Sambangi Dental Corporation | Dentist | 1573 S Harbor Blvd, Fullerton, CA 92832-3402 | 2013-05-29 |
| Find all providers in FULLERTON | ||||
Please comment or provide details below to improve the information on BOM SEOK JEON.
| 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.