SANDRA MOON


Address: 3810 Wilshire Blvd Apt 2211, #2211, Los Angeles, CA 90010-3230
Phone: 3107297785

SANDRA MOON (NPI# 1689059016) 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) 1689059016
Entity Type Individual
Full Name SANDRA MOON
Practice Address 3810 Wilshire Blvd Apt 2211
#2211
Los Angeles
CA 90010-3230
Practice Telephone 3107297785
Enumeration Date 2015-07-27
Last Update Date 2015-07-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
95001140 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers SANDRA MOON

NPI Name Taxonomy Address Enumeration
1649893322 Sandra Moon Licensed Practical Nurse 2296 Torch Lake Dr, Forney, TX 75126-0877 2020-05-28
1063763365 Sandra Moon Nurse Anesthetist, Certified Registered 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6500 2012-09-26
1093883860 Sandra Moon Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2006-12-01

Office Location

Street Address 3810 WILSHIRE BLVD APT 2211
#2211
City LOS ANGELES
State CA
Zip Code 90010-3230

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205454204 Sage Minds Psychiatry & Neurology 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 2020-07-07
1629602750 Shalva, A Psychology Corporation Counselor 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 2020-02-27
1609346287 Leticia Arteaga Marriage & Family Therapist 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 2018-11-27
1891265559 Maria Nguyen Case Manager/Care Coordinator 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 2018-11-26
1568955474 Cherie Emi Okada Student in an Organized Health Care Education/Training Program 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 2018-06-14
1780101832 Bj Park, Chiropractic Acupuncturist 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 2017-08-29
1952828188 Karin Alm Case Manager/Care Coordinator 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 2017-08-28
1295257111 Freddy Pablo Rehabilitation Practitioner 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 2017-07-12
1770032690 Astghik Harutyunyan Special Hospital 3699 Wilshire Blve, Los Angeles, CA 90010 2016-10-04
1629446281 Praveena Chinniah Behavioral Analyst 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 2015-09-11
Find all providers in zip 90010

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083260087 Liezl Ann Bobila Bautista Nurse Practitioner 3317 Bagley Ave Apt 6, Los Angeles, CA 90034-2866 2019-08-15
1780155085 Amy Parker Nurse Practitioner 1160 N Westmoreland Ave, Los Angeles, CA 90029-1909 2018-12-12
1285100172 Kellie Ann Loera Nurse Practitioner 4650 W Sunset Blvd # Ms, Los Angeles, CA 90027-6062 2018-10-17
1629553649 Jamie Duly Nurse Practitioner 4650 W Sunset Blvd # 66, Los Angeles, CA 90027-6062 2018-09-25
1942788047 Annie Lee Thomson Nurse Practitioner 757 Westwood Plz Rm 5411, Los Angeles, CA 90095-8358 2018-07-31
1205347739 Carrie Locken Collins Nurse Practitioner 4650 W Sunset Blvd # 170, Los Angeles, CA 90027-6062 2017-10-24
1053821553 Kimberly Brooke Adams Nurse Practitioner 3131 Bagley Ave Apt 7, Los Angeles, CA 90034-2931 2017-10-10
1013360213 Kelly Barth Nurse Practitioner 1880 Century Park E, Suite 425, Los Angeles, CA 90067-1600 2016-07-22
1003261272 Laura Elvira Espinosa Nurse Practitioner 2831 Vaquero Ave, Los Angeles, CA 90032-3008 2016-04-25
1376899328 Monica M. Garty Nurse Practitioner 5550 Grosvenor Blvd Apt 216, Los Angeles, CA 90066-7310 2012-07-27
Find all providers in LOS ANGELES

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90010

Improve Information

Please comment or provide details below to improve the information on SANDRA MOON.

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.

Trending Searches