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 |
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Address | Po Box 1269, Corona, California |
Phone Number | 9517347600 |
Fax Number | 9517341557 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Lee Y. Moon |
Credentials | M.D. |
Telephone Number | 9517347600 |
NPI Number Detail
NPI Number | 1457576167 |
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Provider Enumeration Date | 2007-04-16 |
Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
Address | Po Box 1269 |
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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 | -- |
Post Comment/ Review Below
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.