Hye Won Moon in Los Angeles - General Practice

Hye Won Moon - NPI 1902977069

Hye Won Moon is a General Practice in Los Angeles, California. Hye Won Moon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Hye Won Moon is 1902977069. The last update date is 2017-02-14.

Hye Won Moon's current location address is 4026 W Olympic Blvd, Los Angeles, California. You can contact this provider via phone number 3237322828 and fax number 3237329737. The mailing address for Hye Won Moon is 4026 W Olympic Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Hye Won Moon
Address 4026 W Olympic Blvd, Los Angeles, California
Phone Number 3237322828
Fax Number 3237329737
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1902977069
Provider Enumeration Date 2006-11-12
Last Updated Date 2017-02-14

Provider Mailing Address Detail

Address 4026 W Olympic Blvd
City Los Angeles
State California (CA)
Post Code 900193257
Phone Number 3237322828
Fax Number 3237329737

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 45925
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B45925-01 CA --

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FAQs about Hye Won Moon

What is the unique 10-digit identifier code issued to Hye Won Moon by the Centers for Medicare & Medicaid Services?

The Hye Won Moon has been assigned the NPI (National Provider Identifier) 1902977069 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Hye Won Moon is physically located?

The Hye Won Moon is physically situated at the following address: 4026 W Olympic Blvd, Los Angeles, CA, 900193257.

What is the area of specialization for Hye Won Moon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Hye Won Moon is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1902977069 to Hye Won Moon?

The Hye Won Moon received its 1902977069 assignment from the Centers for Medicare & Medicaid Services on 2006-11-12.

As of what date were the Hye Won Moon's details last updated?

The information pertaining to the Hye Won Moon, including its address, specialty, and other details, was most recently updated on 2017-02-14.

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