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

Moonsun Jeong, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1740863828

Moonsun Jeong, NURSEPRACTITIONER is a Family Nurse Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

3255 Wilshire Blvd Ste 120
Los Angeles, CA 90010-1405
Phone: (213) 235-2500
Fax: (213) 355-8714
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95017339 (CA)

Record details

NPI number1740863828
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021

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