Organization
MOON MD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRUS R MOON MD (OWNER)
(661) 638-0601
Entity
Organization
Contact information
Practice address
5959 TRUXTUN AVE, BAKERSFIELD, CA 93309-0435
(661) 638-0601
(661) 638-0606
Mailing address
PO BOX 81198, BAKERSFIELD, CA 93380-1198
(661) 638-0601
(661) 638-0606
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A106616
CA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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