Moon Young Im is a Chiropractor in Los Angeles, California. Moon Young Im practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Moon Young Im is 1477595155. The last update date is 2014-12-23.
Moon Young Im's current location address is 2655 W Olympic Blvd, Los Angeles, California. You can contact this provider via phone number 2133830007 and fax number 8666212931. The mailing address for Moon Young Im is 2655 W Olympic Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Moon Young Im |
|---|---|
| Address | 2655 W Olympic Blvd, Los Angeles, California |
| Phone Number | 2133830007 |
| Fax Number | 8666212931 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1477595155 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2014-12-23 |
Provider Mailing Address Detail
| Address | 2655 W Olympic Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900062800 |
| Phone Number | 2133830007 |
| Fax Number | 8666212931 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC29405 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identifier code issued to Moon Young Im by the Centers for Medicare & Medicaid Services?
The Moon Young Im has been assigned the NPI (National Provider Identifier) 1477595155. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Moon Young Im located?
The Moon Young Im is located at 2655 W Olympic Blvd, Los Angeles, CA 900062800.
What is Moon Young Im's specialized field of practice, and what is the corresponding taxonomy classification code?
The Moon Young Im's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477595155 to Moon Young Im?
The Moon Young Im received its 1477595155 assignment from the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date was the information pertaining to Moon Young Im, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Moon Young Im, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-12-23.
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