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Contact Information

DAE HYOUN JEONG, MD
3490 CALIFORNIA ST STE 200
SAN FRANCISCO, CA94118-1892
 Phone: 415-514-6200
 Fax: 415-514-6410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Clinical Exercise Physiologist

224Y00000X
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DAE HYOUN JEONG · (Male)

NPI Number 1265729818
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2011
Last updated 11/05/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A142623
  • IL Medicaid 036135215
Hospital affiliation(s)
  • UNIVERSITY OF MARYLAND MEDICAL CENTER - (Acute Care)
    22 SOUTH GREENE STREET
    BALTIMORE, MD 21201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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