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Dr. Jong Chun Moon, MD
General Practice Physician in Shafter, California
NPI 1760545925

Jong Chun Moon is a General Practice Physician based in Shafter, CA. Jong Chun Moon practices in Shafter, CA and has the professional credentials of MD. The NPI Number for Jong Chun Moon is 1760545925 and holds a License No. 00A356070 (California).

The current practice location address for Jong Chun Moon is 406 James St, Shafter, CA and can be reached out via phone at 661-746-5788 and via fax at 661-746-5273.

Location: 406 James St, Shafter, CA, 93263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760545925
Provider Name
Jong Chun Moon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
406 James St, Shafter, CA, 93263
Phone Number
661-746-5788
Fax Number
661-746-5273
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RHM53818F 05 CA
institution
Provider Business Practice Location Address Details
Address
406 James St
City
Shafter
State
California
Zip
93263-2035
Phone Number
661-746-5788
Fax Number
661-746-5273
person
Provider Business Mailing Address Details
Address
406 James St
City
Shafter
State
California
Zip
93263-2035
Phone Number
661-746-5788
Fax Number
661-746-5273
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
00A356070 (California)
Definition
Definition to come...
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