Moon, Gabriel

Moon, Gabriel is an sole proprietor health care provider with primary practice located at 1455 N Waterman Ave Ste 119, San Bernardino CA 92404. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Moon, Gabriel can be contacted via phone (909) 889-8967.

Contact Information

Primary practice address
1455 N Waterman Ave Ste 119 San Bernardino CA 92404
Phone: (909) 889-8967
Fax: (909) 889-8967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 000149 Connecticut
Other Service Providers / Acupuncturist 171100000X 003150 New York
Other Service Providers / Acupuncturist 171100000X AC7117 California

Profile Details

NPI number 1659431435
LBN Legal business name Moon, Gabriel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Sep 18th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659431435 NPPES
Other 22936 ASHP
Other AC7117 ASHP

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