Individual
DR. JONG CHUN MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406 JAMES ST, SHAFTER, CA 93263-2035
(661) 746-5788
(661) 746-5273
Mailing address
406 JAMES ST., SHAFTER, CA 93263
(661) 746-5788
(661) 746-5273
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00A356070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53818F
—
CA
Enumeration date
12/19/2006
Last updated
07/08/2007
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