Individual
ALFRED MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 ROSE DR, YORBA LINDA, CA 92886-2026
(714) 528-4211
(714) 579-6868
Mailing address
279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 92835-1041
(714) 449-4800
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A104707
CA
207R00000X
Internal Medicine Physician
MT186653
PA
Other
Enumeration date
05/18/2007
Last updated
04/26/2013
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