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Individual

DR. ROGER MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3851 KATELLA AVENUE, SUITE 301, LAS ALAMITOS, CA 90720
(562) 789-3888
(562) 799-3880
Mailing address
3851 KATELLA AVENUE, SUITE 301, LAS ALAMITOS, CA 90720
(562) 789-3888
(562) 799-3880

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A143260
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/27/2012
Last updated
10/03/2018
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