Moon, Robert H.
Moon, Robert H. is an sole proprietor health care provider with primary practice located at 1030 White Alder Ave , Chula Vista CA 91914-2611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Moon, Robert H. can be contacted via phone (619) 800-6713.Contact Information
Primary practice address
1030 White Alder Ave
Chula Vista CA 91914-2611
Phone: (619) 800-6713
Fax: (619) 503-9000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A76947 | California |
Profile Details
| NPI number | 1295772507 |
|---|---|
| LBN Legal business name | Moon, Robert H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 22nd, 2023 - about last year |
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 | 1295772507 | NPPES |
| California | MEDICAID | 00A769470 |
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