Paincare Of San Diego, Amc
LBN: Michael Moon Md A Medical Corporation
Paincare Of San Diego, Amc is an health care organization with primary practice located at 5348 Carroll Canyon Rd Suite 101, San Diego CA 92121-1733. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Michael Moon Md A Medical Corporation can be contacted via phone (858) 202-1546, or through Moon, Michael via phone (858) 202-1546.
Contact Information
Primary practice address
5348 Carroll Canyon Rd Suite 101
San Diego CA 92121-1733
Phone: (858) 202-1546
Fax: (858) 202-1548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | A61865 | California |
Profile Details
| NPI number | 1629023387 |
|---|---|
| LBN Legal business name | Michael Moon Md A Medical Corporation |
| DBA Doing business as | Paincare Of San Diego, Amc |
| Authorized official | Moon, Michael Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jun 14th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629023387 | NPPES |
| California | MEDICAID | GR009670 | |
| California | Other | 127169100 | |
| California | Other | ZZZ07215Z |
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