Individual
DR. JOHNSON LEE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
381 E IMPERIAL HIGHWAY, FULLERTON, CA 92835
(714) 879-7200
(714) 879-3010
Mailing address
381 E IMPERIAL HIGHWAY, FULLERTON, CA 92835
(714) 879-7200
(714) 879-3010
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A86444
CA
2084N0600X
Clinical Neurophysiology Physician
A86444
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2011
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