Individual
KIRK LEONARD MOON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 CALIFORNIA ST, SAN FRANCISCO, CA 94118-1618
(415) 750-6025
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G35183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G351830
—
CA
05
—
1295779833
—
NV
01
—
300130327
RAILROAD MEDICARE
CA
Enumeration date
06/15/2006
Last updated
05/05/2009
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