NPI Code Detail JSON Logo

1003913989 NPI number — ERWIN W.S. JEONG PHARM.D.

NPI Number: 1003913989
Health Care Provider/Practitioner: ERWIN W.S. JEONG PHARM.D.

Information about “1003913989” NPI (ERWIN W.S. JEONG PHARM.D.) exists in 1003913989 in HTML format HTML  |  1003913989 in plain Text format TXT  |  1003913989 in PDF (Portable Document Format) PDF  |  1003913989 in an XML format XML  formats.

NPI Number : 1003913989 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003913989",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JEONG",
    "FirstName": "ERWIN",
    "MiddleName": "W.S.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARM.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3604 PACIFIC AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANHATTAN BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90266-3562",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-545-7870",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12254 BELLFLOWER BLVD",
    "SecondLinePracticeLocationAddress": "DRUG INFO - 1ST FLOOR",
    "PracticeLocationAddressCityName": "DOWNEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90242-2804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-658-3751",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/20/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "41316",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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