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GRACE H JEON M D M P H F A C S A PROFESSIONAL CORPORATION
NPI 1417168758
Surgery in Anaheim, CA

Active since May 25, 2007
1211 W LA PALMA AVE STE 705, ANAHEIM, CA 92801(714) 772-6701(714) 772-5240 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2020, Aug 21, 2019 (2 updates tracked since 2019).

About Grace H Jeon M D M P H F A C S A Professional Corporation NPPES

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

GRACE H JEON M D M P H F A C S A PROFESSIONAL CORPORATION (NPI 1417168758) is a healthcare organization registered as a surgery in Anaheim, California and active in the NPI registry since May 2007. The organization lists Grace Jeon, President, as its authorized official.

NPPES Registry Identity

NPI1417168758
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameGRACE H JEON M D M P H F A C S A PROFESSIONAL CORPORATION
Location Address1211 W LA PALMA AVE STE 705Anaheim, CA 92801-2814
Mailing Address1211 W La Palma Ave Ste 705Anaheim, CA 92801-2814 · (714) 772-6701 · Fax (714) 772-5240
Phone(714) 772-6701
Fax(714) 772-5240
Organization SubpartNo
Authorized OfficialGrace JeonPresident · (818) 720-7113
Enumeration DateMay 25, 2007
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1417168758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · G84081
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1211 W LA PALMA AVE STE 705, Anaheim, CA 92801
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Other Identifiers 1

Medicaid00G840810CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

AUSNYCA LLC
Surgery
1211 W LA PALMA AVE STE 705
ANAHEIM, CA 92801
Orange County (714) 772-6701
DR. GRACE H. JEON M.D.
Surgery
1211 W LA PALMA AVE STE 705
ANAHEIM, CA 92801
Orange County (714) 772-6701

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 Grace H Jeon M D M P H F A C S A Professional Corporation's NPI number?

The NPI number for Grace H Jeon M D M P H F A C S A Professional Corporation is 1417168758. It was assigned to this organization in the NPPES registry on May 25, 2007.

Where is Grace H Jeon M D M P H F A C S A Professional Corporation located?

Grace H Jeon M D M P H F A C S A Professional Corporation is located at 1211 W La Palma Ave Ste 705, Anaheim, CA 92801. The listed phone number is (714) 772-6701.

What is Grace H Jeon M D M P H F A C S A Professional Corporation's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Grace H Jeon M D M P H F A C S A Professional Corporation was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.