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CHANMIN JEON
NPI 1437028578
Nurse Practitioner - Primary Care in Los Angeles, CA

Active since November 04, 2025
505 S VIRGIL AVE STE 206, LOS ANGELES, CA 90020(213) 622-0021 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 8, 2026, Nov 4, 2025 (2 updates tracked since 2025).

About Chanmin Jeon NPPES

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

CHANMIN JEON (NPI 1437028578) is an individual primary care provider in Los Angeles, California, licensed in California (95037498) and active in the NPI registry since November 2025. He maintains a secondary practice location in Buena Park.

NPPES Registry Identity

NPI1437028578
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameCHANMIN JEON
Location Address505 S VIRGIL AVE STE 206Los Angeles, CA 90020-1443
Mailing Address2321 W 10th St Unit 201Los Angeles, CA 90006-2246
Phone(213) 622-0021
Sole ProprietorNo
Enumeration DateNovember 4, 2025
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1437028578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95037498
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95037498 (CA)
505 S VIRGIL AVE STE 206, Los Angeles, CA 90020
Open in Google Maps ↗

Secondary Practice Location 1

Location 15832 Beach Blvd Unit 209Buena Park, CA 90621-5501 · Phone (714) 676-5541

Other Providers at the Same Location NPPES

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

AXIS SURGERY CENTER, PC
Clinic/Center (Ambulatory Surgical)
505 S VIRGIL AVE STE 206
LOS ANGELES, CA 90020
Los Angeles County (213) 622-0021

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 Chanmin Jeon's NPI number?

The NPI number for Chanmin Jeon is 1437028578. It was assigned to this individual provider in the NPPES registry on November 4, 2025.

Where is Chanmin Jeon located?

Chanmin Jeon practices at 505 S Virgil Ave Ste 206, Los Angeles, CA 90020. The listed phone number is (213) 622-0021.

What is Chanmin Jeon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Chanmin Jeon was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.