EUSUN JEONG
NPI 1275080210
Student in an Organized Health Care Education/Training Program in Gardena, CA

Active since September 07, 2016
14112 S KINGSLEY DR, GARDENA, CA 90249(310) 217-7312 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eusun Jeong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUSUN JEONG (NPI 1275080210) is an individual student in an organized health care education/training program in Gardena, California and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1275080210
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEUSUN JEONG
Location Address14112 S KINGSLEY DRGardena, CA 90249-3018
Mailing Address14112 S Kingsley DrGardena, CA 90249-3018
Sole ProprietorNo
Enumeration DateSeptember 7, 2016
Last NPPES UpdateOctober 21, 2016
NPI 1275080210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
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.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
14112 S KINGSLEY DR, Gardena, CA 90249

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Hospital
14112 S KINGSLEY DR
GARDENA, CA 90249
Rehabilitation Practitioner
14112 S KINGSLEY DR
GARDENA, CA 90249
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Psychologist (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Psychologist (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eusun Jeong's NPI number?

The NPI number for Eusun Jeong is 1275080210. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Eusun Jeong located?

Eusun Jeong practices at 14112 S Kingsley Dr, Gardena, CA 90249. The listed phone number is (310) 217-7312.

What is Eusun Jeong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eusun Jeong was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.