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THERESA KYUNGHOI-KIM MOON MD NPI 1477581270


NPI Information

NPI: 1477581270
Provider Name: THERESA KYUNGHOI-KIM MOON, MD
Classification: Psychiatry & Neurology - 2084F0202X
Entity Type: Individual

Specialization: Forensic Psychiatry

PECOS Registration: Yes

Address:
2813 S MAIN ST
CORONA, CA
ZIP 92882
Phone: (951) 737-2962
Get Directions

Theresa Kyunghoi-kim Moon, MD is a forensic psychiatry psychiatry neurology in Corona, CA with 44 years of experience. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. Theresa Kyunghoi-kim Moon, MD NPI is 1477581270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2813 S MAIN ST
CORONA, CA
ZIP 92882-942
Phone: (951) 737-2962
Fax: (951) 737-2783

The NPI 1477581270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 4/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084F0202XPsychiatry & NeurologyForensic PsychiatryA43482CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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