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

Il Seok Daniel Jeong

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861071565

Il Seok Daniel Jeong is a Student in an Organized Health Care Education/Training Program in Sylmar, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

14445 Olive View Dr
Sylmar, CA 91342-1437
Phone: (747) 210-3000
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1861071565
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

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