| Jin Woo Moon, DC | |
|
137 S Knott Ave, Anaheim, CA 92804-1406 | |
| (714) 484-9000 | |
| Not Available |
| Full Name | Jin Woo Moon |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 137 S Knott Ave, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740486356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC28135 (California) | Primary |
| Provider Name | Jin Moon Chiropractic Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750526547 PECOS PAC ID: 1759439391 Enrollment ID: O20090508000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Jin Woo Moon, DC 137 S Knott Ave, Anaheim, CA 92804-1406 Ph: () - | Jin Woo Moon, DC 137 S Knott Ave, Anaheim, CA 92804-1406 Ph: (714) 484-9000 |
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