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Dr. Michael Moon, MD
Interventional Pain Medicine Physician in San Diego, California
NPI 1619014230

Michael Moon is a Interventional Pain Medicine Physician based in San Diego, CA and is specialized in Interventional Pain Medicine. Michael Moon practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Michael Moon is 1619014230 and holds a License No. A61865 (California).

The current practice location address for Michael Moon is 5348 Carroll Canyon Rd, San Diego, CA and can be reached out via phone at 858-202-1546 and via fax at 858-202-1548.

Location: 5348 Carroll Canyon Rd, San Diego, CA, 92121-1733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619014230
Provider Name
Michael Moon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5348 Carroll Canyon Rd, San Diego, CA, 92121-1733
Phone Number
858-202-1546
Fax Number
858-202-1548
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0096070 05 CA
ZZZ07215Z 01 CA BLUE SHIELD
A61865 01 CA LICENSE NUMBER
127169100 01 CA ACS-US DEPT OF LABOR
330992123 01 CA BLUE CROSS
P00302519 01 CA RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
5348 Carroll Canyon Rd
City
San Diego
State
California
Zip
92121-1733
Phone Number
858-202-1546
Fax Number
858-202-1548
person
Provider Business Mailing Address Details
Address
5348 Carroll Canyon Rd
City
San Diego
State
California
Zip
92121-1733
Phone Number
858-202-1546
Fax Number
858-202-1548
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
A61865 (California)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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