NPI:
1629023387
Provider Name:
MICHAEL MOON MD A MEDICAL CORPORATION
Doing Business As: PAINCARE OF SAN DIEGO, AMC
Classification:
Physical Medicine & Rehabilitation - 2081P2900X
Entity Type:
Organization
Specialization: Pain Medicine
CLIA Number: 05D1090554
Address:
5348 CARROLL CANYON RD
SUITE 101
SAN DIEGO, CA
ZIP 92121
Phone:
(858) 202-1546
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MICHAEL MOON MD A MEDICAL CORPORATION is a pain medicine physical medicine rehabilitation in San Diego, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. MICHAEL MOON MD A MEDICAL CORPORATION NPI is 1629023387. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Paincare Of San Diego, Amc.
The provider's business location address is:
5348 CARROLL CANYON RD
SUITE 101
SAN DIEGO, CA
ZIP 92121-733
Phone: (858) 202-1546
Fax: (858) 202-1548
The provider's authorized official is Michael Moon .
The authorized official title is Ceo and has the following contact phone number (858) 202-1546.
The CLIA number assigned to this NPI record is 05D1090554 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/23/2006 and was last updated on 6/14/2022.