Tina Lee Moon in Hesperia - Physician Assistant
Tina Lee Moon - NPI 1104946383
Tina Lee Moon is a Physician Assistant in Hesperia, California. Tina Lee Moon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tina Lee Moon is 1104946383. The last update date is 2007-07-08.
Tina Lee Moon's current location address is 7809 Hemlock Ave, Hesperia, California. You can contact this provider via phone number 9518300496. The mailing address for Tina Lee Moon is 7809 Hemlock Ave, Hesperia, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Lee Moon |
|---|---|
| Address | 7809 Hemlock Ave, Hesperia, California |
| Phone Number | 9518300496 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104946383 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7809 Hemlock Ave |
|---|---|
| City | Hesperia |
| State | California (CA) |
| Post Code | 923454119 |
| Phone Number | 9518300496 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 15164 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Tina Lee Moon by the Centers for Medicare & Medicaid Services (CMS)?
The Tina Lee Moon has been assigned the NPI (National Provider Identifier) 1104946383. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Tina Lee Moon?
The Tina Lee Moon is situated at 7809 Hemlock Ave, in the city of Hesperia, state of CA, with the zip code 923454119.
What is Tina Lee Moon's area of expertise and its corresponding taxonomy classification?
The Tina Lee Moon's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did Tina Lee Moon receive its 1104946383 assignment?
The Tina Lee Moon was assigned its 1104946383 on 2007-03-30, which is the date when this unique identifier was issued to the organization.
As of what date were the Tina Lee Moon's details last updated?
The information pertaining to the Tina Lee Moon, including its address, specialty, and other details, was most recently updated on 2007-07-08.