Moonfield Medical Mgmt. Corp in Corona - Specialist

Moonfield Medical Mgmt. Corp - NPI 1457576167

Moonfield Medical Mgmt. Corp is a Specialist in Corona, California. Moonfield Medical Mgmt. Corp practices all healthcare services and medical treatments related to Specialist. The NPI Number for Moonfield Medical Mgmt. Corp is 1457576167. The last update date is 2007-10-30.

Moonfield Medical Mgmt. Corp's current location address is Po Box 1269, Corona, California. You can contact this provider via phone number 9517347600 and fax number 9517341557. The mailing address for Moonfield Medical Mgmt. Corp is Po Box 1269, Corona, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Moonfield Medical Mgmt. Corp
Address Po Box 1269, Corona, California
Phone Number 9517347600
Fax Number 9517341557
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Lee Y. Moon
Credentials M.D.
Telephone Number 9517347600

NPI Number Detail

NPI Number 1457576167
Provider Enumeration Date 2007-04-16
Last Updated Date 2007-10-30

Provider Mailing Address Detail

Address Po Box 1269
City Corona
State California (CA)
Post Code 928781269
Phone Number 9517347600
Fax Number 9517341557

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A032377
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A323770 CA --

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FAQs about Moonfield Medical Mgmt. Corp

What is the unique 10-digit identifier code assigned to Moonfield Medical Mgmt. Corp by the Centers for Medicare & Medicaid Services?

The Moonfield Medical Mgmt. Corp has been issued the NPI (National Provider Identifier) 1457576167 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Moonfield Medical Mgmt. Corp's facilities are geographically located?

The facilities of Moonfield Medical Mgmt. Corp are physically situated at the following location: Po Box 1269, Corona, CA, 928781269.

What is the Moonfield Medical Mgmt. Corp's specialty and taxonomy code?

The Moonfield Medical Mgmt. Corp's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When was the Moonfield Medical Mgmt. Corp's 1457576167 issued?

The Moonfield Medical Mgmt. Corp's 1457576167 was issued on 2007-04-16.

When was the information pertaining to Moonfield Medical Mgmt. Corp most recently updated or revised?

The details related to Moonfield Medical Mgmt. Corp, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-30.

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