Organization
MICHAEL MOON MD A MEDICAL CORPORATION
Active
Other names
PainCare of San Diego, AMC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MOON M.D. (CEO)
(858) 202-1546
Entity
Organization
Contact information
Practice address
5348 CARROLL CANYON RD, SUITE 101, SAN DIEGO, CA 92121-1733
(858) 202-1546
(858) 202-1548
Mailing address
5348 CARROLL CANYON RD, SUITE 101, SAN DIEGO, CA 92121-1733
(858) 202-1546
(858) 202-1548
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A61865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127169100
US DEPARTMENT OF LABOR
CA
05
—
GR009670
—
CA
01
—
ZZZ07215Z
BLUE SHIELD
CA
Enumeration date
05/23/2006
Last updated
06/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us