DR. MOON IP


Address: 4300 Crenshaw Blvd, Los Angeles, CA 90008-4902
Phone: 3232981000

DR. MOON IP (NPI# 1588062566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588062566
Entity Type Individual
Full Name DR. MOON IP
Credential MD
Practice Address 4300 Crenshaw Blvd
Los Angeles
CA 90008-4902
Practice Telephone 3232981000
Practice Fax Number 3232980458
Mailing Telephone 3232981000
Mailing Fax Number 3232980458
Enumeration Date 2014-12-08
Last Update Date 2014-12-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery A35407 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 4300 CRENSHAW BLVD
City LOS ANGELES
State CA
Zip Code 90008-4902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356956692 Good Neighbor Clinic & Urgent Care, Amc Psychiatry & Neurology 4300 Crenshaw Blvd, Los Angeles, CA 90008-4902 2020-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376185215 Mishanda Y Freeman Social Worker 3001 West Vernon Ave, Los Angeles, CA 90008 2019-10-11
1104390723 Joana Rodriguez Rehabilitation Practitioner 3731 Stocker St., Suite 105, Los Angeles, CA 90008 2019-01-16
1356840128 Acclivity Community/Behavioral Health 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 2018-02-07
1376055145 Gentle F Carcamo Rehabilitation Practitioner 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 2017-11-01
1710498332 The Dream Catcher Foundation, Inc. Residential Treatment Facility, Emotionally Disturbed Children 4173 2nd Ave, Los Angeles, CA 90008 2017-10-23
1144748591 Alexandra Nicole Romero Social Worker 3751 Stocker St., Los Angeles, CA 90008 2017-09-06
1669998209 Leslie S Ortiz Counselor 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 2017-08-15
1902335078 Deanna L Williams Counselor 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 2017-06-12
1609300508 Lydia Quintanills Counselor 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 2017-04-18
1881056661 A Plus Care Giver Services Clinic/Center 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 2016-03-22
Find all providers in zip 90008

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639720097 Sergey Lyass Md Surgical Surgery 8631 W 3rd St # S900e, Los Angeles, CA 90048-5901 2019-09-26
1104317262 Ryan Alexander Smith Surgery 11301 Wilshire Blvd Ofc Va, Los Angeles, CA 90073-1003 2018-05-24
1699215327 La Surgical Specialists Surgery 450 N Greencraig Rd, Los Angeles, CA 90049-2840 2017-02-28
1245681543 Cina Surgery Surgery 3756 Santa Rosalia Dr Ste C100, Los Angeles, CA 90008-3606 2016-06-28
1548622194 Blair Smart Surgery Usc General Surgery Residency Program, 1520 San Pablo Street, Los Angeles, CA 90033-5330 2016-03-23
1053783258 Michael F. Sedrak, M.d., A Medical Corporation Surgery 10336 Wilshire Blvd Apt 602, Los Angeles, CA 90024-4754 2015-10-27
1558737312 Gene Kyu Lee Surgery 1520 San Pablo Street, Hct 4300, Los Angeles, CA 90033 2015-08-17
1851779052 Michael Fenlon Surgery 1520 San Pablo St # 3400, Los Angeles, CA 90033-5310 2015-05-08
1629488416 Cassra Nouri Arbabi Surgery 127 S San Vicente Blvd Ste A3100, Los Angeles, CA 90048 2014-05-01
1538506704 Teodor Polak Surgery 508 Tuallitan Rd., Los Angeles, CA 90049 2013-05-29
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90008

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Dataset Information

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.

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