Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace H Jeon M D M P H F a C S a Professional Corporation

Organization Surgery Physician · NPI 1417168758

Grace H Jeon M D M P H F a C S a Professional Corporation is a Surgery Physician in Anaheim, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1211 W La Palma Ave Ste 705
Anaheim, CA 92801-2814
Phone: (714) 772-6701
Fax: (714) 772-5240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence G84081 (CA)

Record details

NPI number1417168758
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Jeon — President · (818) 720-7113
NPI enumeratedMay 25, 2007
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address1211 W La Palma Ave Ste 705, Anaheim, CA 92801-2814

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