DR. JOHNSON LEE MOON (NPI# 1457407579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457407579 |
| Entity Type | Individual |
| Full Name | DR. JOHNSON LEE MOON |
| Credential | M.D. |
| Practice Address |
381 E Imperial Highway Fullerton CA 92835 |
| Practice Telephone | 7148797200 |
| Practice Fax Number | 7148793010 |
| Mailing Telephone | 7148797200 |
| Mailing Fax Number | 7148793010 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A86444 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
A86444 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
381 E IMPERIAL HIGHWAY |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629141478 | Neurology Center of North Orange County, A Medical Corp. | Psychiatry & Neurology | 381 E Imperial Highway, Fullerton, CA 92835 | 2006-11-16 |
| 1689831380 | Kiran Kamal Singh Bath | Neuromusculoskeletal Medicine & OMM | 381 E Imperial Highway, Fullerton, CA 92835 | 2008-05-20 |
| 1942374392 | Anthony M Ciabarra | Psychiatry & Neurology | 381 E Imperial Highway, Fullerton, CA 92835 | 2006-11-20 |
| 1326111279 | Stephen Richard Waldman | Psychiatry & Neurology | 381 E Imperial Highway, Fullerton, CA 92835 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679706295 | Manpreet Kaur Multani | Psychiatry & Neurology | 381 Imperial Hwy, Fullerton, CA 92835-1040 | 2009-08-30 |
| 1881741247 | Johanna Lynn Rosenthal | Psychiatry & Neurology | 1440 N Harbor Blvd Ste 900, Fullerton, CA 92835-4122 | 2007-01-05 |
| 1629141478 | Neurology Center of North Orange County, A Medical Corp. | Psychiatry & Neurology | 381 E Imperial Highway, Fullerton, CA 92835 | 2006-11-16 |
| 1265502215 | Lowell Gordon Nelson | Psychiatry & Neurology | 1841 Avenida San Lorenzo, Fullerton, CA 92833-1821 | 2006-11-08 |
| 1831184795 | Thomas W Ela | Psychiatry & Neurology | 2282 N State College Blvd, Fullerton, CA 92831-1362 | 2005-09-16 |
| 1881832251 | Johanna Rosenthal M.d. Inc. | Psychiatry & Neurology | 1440 N Harbor Blvd, Suite 100, Fullerton, CA 92835-4127 | 2009-01-23 |
| 1588863716 | Thomas W. Ela, M.d., Inc. | Psychiatry & Neurology | 2282 N State College Blvd, Fullerton, CA 92831-1362 | 2007-07-17 |
| 1942374392 | Anthony M Ciabarra | Psychiatry & Neurology | 381 E Imperial Highway, Fullerton, CA 92835 | 2006-11-20 |
| 1326111279 | Stephen Richard Waldman | Psychiatry & Neurology | 381 E Imperial Highway, Fullerton, CA 92835 | 2006-11-16 |
| 1235218488 | Jack H Florin Md Inc | Psychiatry & Neurology | 100 Laguna Rd, Suite 208, Fullerton, CA 92835-3633 | 2006-11-06 |
| Find all providers in FULLERTON | ||||
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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.