JI SON MD CORP NPI 1184565863

NPI Information

  • NPI: 1184565863
  • Provider Name: JI SON MD CORP
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 5505 E SANTA ANA CANYON RD UNIT 17852
    ANAHEIM, CA
    ZIP 92817
  • Phone: (951) 268-7009

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NPI Details

JI SON MD CORP is a plastic surgery in Anaheim, CA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. JI SON MD CORP NPI is 1184565863. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5505 E SANTA ANA CANYON RD UNIT 17852
ANAHEIM, CA
ZIP 92817-241
Phone: (951) 268-7009

The provider's authorized official is Ji Son .
The authorized official title is Ceo and has the following contact phone number (949) 394-2784.

The enumeration date for this NPI number is 4/4/2026 and was last updated on 4/4/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryNo
2208200000XPlastic SurgeryYes

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This page was last updated on: 11/21/2025

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