Individual
MR. STEVE F MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSC KIN., CWCE, CELE
Contact information
Practice address
2420 SAND CREEK RD # C1-303, BRENTWOOD, CA 94513-2707
(925) 858-6323
(925) 513-8792
Mailing address
2224 SPYGLASS DR, BRENTWOOD, CA 94513-5672
(925) 858-6323
(925) 513-8792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710965035
IRS
—
Enumeration date
08/22/2006
Last updated
09/22/2020
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