Individual
THERESA KYUNGHOI-KIM MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2813 S MAIN ST, CORONA, CA 92882-5942
(951) 737-2962
(951) 737-2783
Mailing address
18692 PATRICIAN DR, VILLA PARK, CA 92861-4211
(714) 633-0184
(714) 543-4488
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
A43482
CA
Other
Enumeration date
06/29/2006
Last updated
04/14/2021
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