# JONG C MOON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHAFTER RURAL HEALTH CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457578403
- **Authorized official:** DR. JONG CHUN MOON M.D. (ADMINISTRATOR)
- **Authorized official phone:** (661) 746-5788

## Contact information

- **Practice address:** 406 JAMES ST, SHAFTER, CA 93263-2035
- **Practice address phone:** (661) 746-5788
- **Practice address fax:** (661) 746-5273
- **Mailing address:** 406 JAMES ST, SHAFTER, CA 93263-2035
- **Mailing address phone:** (661) 746-5788
- **Mailing address fax:** (661) 746-5273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | A356070 | CA | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 06/25/2012