Moon, Sandra
Moon, Sandra is an individual health care provider with primary practice located at 3810 Wilshire Blvd Apt 2211 #2211, Los Angeles CA 90010-3230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Moon, Sandra can be contacted via phone (310) 729-7785.Contact Information
Primary practice address
3810 Wilshire Blvd Apt 2211 #2211
Los Angeles CA 90010-3230
Phone: (310) 729-7785
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 95001140 | California |
Profile Details
| NPI number | 1689059016 |
|---|---|
| LBN Legal business name | Moon, Sandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2015 |
| Last updated | Feb 10th, 2022 - about 4 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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