Organization
CLARA HWANG MOON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL COLEEN KEEHNE B.A. (ADMINISTRATOR)
(661) 295-0181
Entity
Organization
Contact information
Practice address
28093 SMYTH DR, VALENCIA, CA 91355-4023
(661) 295-0181
(661) 295-9776
Mailing address
28093 SMYTH DR, VALENCIA, CA 91355-4023
(661) 295-0181
(661) 295-9776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 6012
CA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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