# DR. TIMOTHY HOON MOON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346654290
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A138833 | CA | — |
| 207Q00000X | Family Medicine Physician | M-2073 | GU | — |
| 207Q00000X | Family Medicine Physician | MTL-2017-080 | GU | — |
| 207R00000X | Internal Medicine Physician | M-2073 | GU | — |
| 207R00000X | Internal Medicine Physician | MD-22072 | HI | Yes |
| 207R00000X | Internal Medicine Physician | MTL-2017-080 | GU | — |
| 208M00000X | Hospitalist Physician | M-14568 | ID | — |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 05/27/2025