HAE JUNG MOON (NPI# 1356628846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356628846 |
| Entity Type | Individual |
| Full Name | HAE JUNG MOON |
| Credential | ABO, NCLE |
| Practice Address |
24228 Crenshaw Blvd Torrance CA 90505-5303 |
| Practice Telephone | 3105392449 |
| Mailing Telephone | 3105392449 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
CL1788 | CA | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
SL5735 | CA | Eye and Vision Services Providers |
| Street Address |
24228 CRENSHAW BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083969232 | Jay's Golf Academy Inc. | Technician/Technologist | 24228 Crenshaw Blvd, Torrance, CA 90505-5303 | 2012-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837929 | Bushra Abraham | Technician/Technologist | 2370 Crenshaw Blvd Ste I-1, Torrance, CA 90501-3352 | 2019-12-07 |
| 1104362615 | National Vision, Inc. | Technician/Technologist | 19800 Hawthorne Blvd, Suite 200, Torrance, CA 90503-1515 | 2017-01-09 |
| 1255764858 | Benjamin Vallejo | Technician/Technologist | 3565 Del Amo Blvd, Suite #203, Torrance, CA 90503-1637 | 2013-08-19 |
| 1083969232 | Jay's Golf Academy Inc. | Technician/Technologist | 24228 Crenshaw Blvd, Torrance, CA 90505-5303 | 2012-07-13 |
| 1922289834 | Manuel E Vasquez | Technician/Technologist | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2007-11-19 |
| 1568643476 | Larissa Marie Nichols | Technician/Technologist | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2007-11-19 |
| 1902022924 | In Yul Kim | Technician/Technologist | 16300 Crenshaw Blvd, #105, Torrance, CA 90504-1439 | 2007-04-18 |
| 1356430839 | Sam's Club Optical | Technician/Technologist | 2601 Skypark Dr, Torrance, CA 90505-5313 | 2006-10-12 |
| 1043308547 | Wal-mart Stores, Inc. | Technician/Technologist | 19503 Normandie Ave, Torrance, CA 90501-1361 | 2006-10-10 |
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|---|---|---|---|---|
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| 1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
| 1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
| 1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
| 1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
| 1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
| 1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
| 1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
| Find all providers with the same taxonomy | ||||
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| 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.