THERESA KYUNGHOI-KIM MOON (NPI# 1477581270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477581270 |
| Entity Type | Individual |
| Full Name | THERESA KYUNGHOI-KIM MOON |
| Credential | MD |
| Practice Address |
1633 E 4th St Ste. 380 Santa Ana CA 92701-5163 |
| Mailing Address |
18692 Patrician Dr Villa Park CA 92861-4211 |
| Practice Telephone | 7143902673 |
| Practice Fax Number | 7145434488 |
| Mailing Telephone | 7146330184 |
| Mailing Fax Number | 7145434488 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
A43482 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1633 E 4TH ST STE. 380 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-5163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255850228 | Jenessa Elizabeth Goodman | Counselor | 1633 E 4th St, Santa Ana, CA 92701-5163 | 2017-09-11 |
| 1255742060 | Christine Ger | Community/Behavioral Health | 1633 E 4th St, Santa Ana, CA 92701-5163 | 2014-05-14 |
| 1144570136 | Gary Michael Sipiora | Counselor | 1633 E 4th St, Ste# 120, Santa Ana, CA 92701-5163 | 2012-09-17 |
| 1275761686 | Darlene R. Moreno | Counselor | 1633 E 4th St, Santa Ana, CA 92701-5163 | 2009-06-24 |
| 1972775252 | Chun K. Ryu | Psychiatry & Neurology | 1633 E 4th St, Santa Ana, CA 92701-5163 | 2008-03-27 |
| 1497927792 | Ymca of Orange County | Community/Behavioral Health | 1633 E 4th St, Suite 184, Santa Ana, CA 92701-5163 | 2008-03-26 |
| 1558546689 | Margarita Calzadilla-kishimoto | Social Worker | 1633 E 4th St, Suite 184, Santa Ana, CA 92701-5163 | 2008-01-08 |
| 1619161478 | Sandra Judith Cano | Counselor | 1633 E 4th St, Suite #120, Santa Ana, CA 92701-5163 | 2007-09-04 |
| 1497973671 | Bobbie Nicole Ray | Counselor | 1633 E 4th St, Santa Ana, CA 92701-5163 | 2007-04-23 |
| 1831219716 | Terri Ann Hays | Counselor | 1633 E 4th St, Ste. 120, Santa Ana, CA 92701-5163 | 2007-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316586522 | Peter Robin Kimmel | Psychiatry & Neurology | 9050 Broadway Ter, Oakland, CA 94611-1952 | 2020-01-06 |
| 1437546355 | Gilbert W Kliman | Psychiatry & Neurology | 573 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2015-04-17 |
| 1427378389 | Michel Ross Mandel | Psychiatry & Neurology | 1828 South St, Redding, CA 96001-1809 | 2010-06-02 |
| 1013237064 | Artha Gillis | Psychiatry & Neurology | 760 Westwood Plz Rm C8-193, Los Angeles, CA 90024-5055 | 2010-06-01 |
| 1942538343 | Alex Sahba Md, A Medical Corp | Psychiatry & Neurology | 2355 Westwood Blvd # 129, Los Angeles, CA 90064-2109 | 2009-11-23 |
| 1235362237 | Eric Henry Marcus | Psychiatry & Neurology | 2648 W Canyon Ave, San Diego, CA 92123-4684 | 2009-08-25 |
| 1689803884 | Albert Shnaider | Psychiatry & Neurology | 5833 Cahill Ave, Tarzana, CA 91356-1205 | 2009-07-08 |
| 1538309745 | David J Sheffner | Psychiatry & Neurology | 320 Superior Ave Ste 330, Newport Beach, CA 92663-2772 | 2009-02-27 |
| 1710123112 | Kenneth I. Gottlieb, M.d. A Professional Corporation | Psychiatry & Neurology | 909 Hyde St Ste 430, San Francisco, CA 94109-4846 | 2009-01-06 |
| 1700035367 | Todd Stuart Elwyn | Psychiatry & Neurology | 1000 Marina Boulevard, Suite 100, Brisbane, CA 94005-1839 | 2008-09-18 |
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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.