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Organization

SUN MOON & STARS MEDICAL CORPORATION

Active
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Organization

SUN MOON & STARS MEDICAL CORPORATION

Active
Other names
Pediatric Diagnostic Center, Pediatric Specialty Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUN MOON LEE MD (MEDICAL DIRECTOR)
(805) 330-0706
Entity
Organization

Contact information

Practice address
3655 W 5TH ST, OXNARD, CA 93030-6424
(805) 330-0706
Mailing address
1363 DONLON ST STE 13, VENTURA, CA 93003-5638
(805) 330-0709

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—

Other

Enumeration date
11/04/2021
Last updated
12/16/2021
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