ANDRW MOON (NPI# 1164823068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164823068 |
| Entity Type | Individual |
| Full Name | ANDRW MOON |
| Practice Address |
1730 W Olympic Blvd # 3a-300 Los Angeles CA 90015-1019 |
| Practice Telephone | 2132499388 |
| Practice Fax Number | 2133897993 |
| Mailing Telephone | 2132499388 |
| Mailing Fax Number | 2133897993 |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1730 W OLYMPIC BLVD # 3A-300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295803989 | Pang Yang | Social Worker | 1730 W Olympic Blvd # 3a-300, Los Angeles, CA 90015-1019 | 2006-12-01 |
| 1649782178 | Frances Estela Wyatt | Counselor | 1730 W Olympic Blvd # 3a-300, Los Angeles, CA 90015-1019 | 2017-10-24 |
| 1982114641 | Arriel Poufa Taufaao | Community Health Worker | 1730 W Olympic Blvd # 3a-300, Los Angeles, CA 90015-1019 | 2017-10-09 |
| 1932627320 | Tanya Sapa | Case Manager/Care Coordinator | 1730 W Olympic Blvd # 3a-300, Los Angeles, CA 90015-1019 | 2017-09-06 |
| 1801317847 | Marcus Mendez | Counselor | 1730 W Olympic Blvd # 3a-300, Los Angeles, CA 90015-1019 | 2017-06-29 |
| 1518493162 | Brianna Villa | Case Manager/Care Coordinator | 1730 W Olympic Blvd # 3a-300, Los Angeles, CA 90015-1019 | 2017-05-02 |
| 1578099115 | Matavai V Tela | Community Health Worker | 1730 W Olympic Blvd # 3a-300, Los Angeles, CA 90015-1019 | 2017-05-02 |
| 1023568391 | Lianna Lauterio | Counselor | 1730 W Olympic Blvd # 3a-300, Los Angeles, CA 90015-1019 | 2016-10-10 |
| 1033669403 | Genesis Lutu | Community Health Worker | 1730 W Olympic Blvd # 3a-300, Los Angeles, CA 90015-1019 | 2016-10-10 |
| 1841748803 | Punipuao Pouli | Community Health Worker | 1730 W Olympic Blvd # 3a-300, Los Angeles, CA 90015-1019 | 2016-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
Please comment or provide details below to improve the information on ANDRW MOON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.