Michael Moon Md A Medical Corporation in San Diego - Pain Medicine
Michael Moon Md A Medical Corporation - NPI 1629023387
Michael Moon Md A Medical Corporation is a Pain Medicine in San Diego, California. Michael Moon Md A Medical Corporation practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Michael Moon Md A Medical Corporation is 1629023387. The last update date is 2022-06-14.
Michael Moon Md A Medical Corporation's current location address is 5348 Carroll Canyon Rd, San Diego, California. You can contact this provider via phone number 8582021546 and fax number 8582021548. The mailing address for Michael Moon Md A Medical Corporation is 5348 Carroll Canyon Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael Moon Md A Medical Corporation |
|---|---|
| Address | 5348 Carroll Canyon Rd, San Diego, California |
| Phone Number | 8582021546 |
| Fax Number | 8582021548 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Moon Michael |
| Credentials | M.D. |
| Telephone Number | 8582021546 |
NPI Number Detail
| NPI Number | 1629023387 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2022-06-14 |
Provider Mailing Address Detail
| Address | 5348 Carroll Canyon Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921211733 |
| Phone Number | 8582021546 |
| Fax Number | 8582021548 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2081P2900X |
| Licence No | A61865 |
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Definition: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR009670 | CA | -- | |
| 127169100 | CA | US DEPARTMENT OF LABOR | |
| ZZZ07215Z | CA | BLUE SHIELD |
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What is the unique identification code assigned to Michael Moon Md A Medical Corporation by the Centers for Medicare & Medicaid Services?
The Michael Moon Md A Medical Corporation has been issued the NPI (National Provider Identifier) 1629023387. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael Moon Md A Medical Corporation located?
The Michael Moon Md A Medical Corporation is located at 5348 Carroll Canyon Rd, San Diego, CA 921211733.
What is the Michael Moon Md A Medical Corporation's area of specialization and corresponding taxonomy classification?
The Michael Moon Md A Medical Corporation's specialty field is Pain Medicine, and it falls under the taxonomy code 2081P2900X, which categorizes healthcare providers based on their specialties.
On what date was the 1629023387 assigned to Michael Moon Md A Medical Corporation?
The Michael Moon Md A Medical Corporation was issued its 1629023387 on 2006-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Michael Moon Md A Medical Corporation most recently updated or revised?
The details related to Michael Moon Md A Medical Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2022-06-14.