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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659431435 | NPPES |
| Other | 22936 | ASHP | |
| Other | AC7117 | ASHP |
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