Jeong, Dae Hyoun

Jeong, Dae Hyoun is an individual health care provider with primary practice located at 3490 California St Ste 200 , San Francisco CA 94118-1892. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Jeong, Dae Hyoun can be contacted via phone (415) 514-6200.

Contact Information

Primary practice address
3490 California St Ste 200 San Francisco CA 94118-1892
Phone: (415) 514-6200
Fax: (415) 514-6410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A142623 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X A142623 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X A142623 California
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A142623 California

Profile Details

NPI number 1265729818
LBN Legal business name Jeong, Dae Hyoun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Nov 5th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265729818 NPPES
Illinois MEDICAID 036135215

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