| Robert H Moon Md, Inc | |
|
1030 White Alder Ave Chula Vista CA 91914-2611 | |
| (619) 800-6713 | |
| (619) 503-9000 |
| Full Name | Robert H Moon Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1030 White Alder Ave, Chula Vista, California |
| Authorized Official Name and Position | Robert Hahn Moon (EMPLOYEE) |
| Authorized Official Contact | 6198006713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert H Moon Md, Inc 1030 White Alder Ave Chula Vista CA 91914-2611 Ph: (619) 800-6713 | Robert H Moon Md, Inc 1030 White Alder Ave Chula Vista CA 91914-2611 Ph: (619) 800-6713 |
| NPI Number | 1013401975 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 8729330527 |
|---|---|
| Medicare Enrollment ID | O20181005000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013401975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A76947 (* (Not Available)) | Primary |
| Provider Name | Robert H Moon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295772507 PECOS PAC ID: 7315987963 Enrollment ID: I20050503001246 |
| Provider Name | Christina Hinckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295143840 PECOS PAC ID: 5799904421 Enrollment ID: I20140911001718 |
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