Organization
MOON PEDIATRIC THERAPY INC.
Active
Organization
MOON PEDIATRIC THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAIAH RAMOS (PROGRAM DIRECTOR)
(951) 500-2964
Entity
Organization
Contact information
Practice address
9760 LITTLE CANYON LN, ESCONDIDO, CA 92026
(619) 925-6795
Mailing address
1111 6TH AVE STE 550, SAN DIEGO, CA 92101-5211
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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