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Michael Moon MD A Medical Corporation

Pain Medicine (Physical Medicine & Rehabilitation) Physician in San Diego, CA · enumerated 2006 · authorized official Michael Moon, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629023387

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Registry record

Entity type Organization (Type 2)
Legal business name Michael Moon MD A Medical Corporation
Other name <Unavail>
Practice address 5348 Carroll Canyon Rd, Suite 101, San Diego, CA, 92121
Fax (858) 202-1548
Enumeration date May 23, 2006
Last updated in NPPES Jun 14, 2022

Taxonomy & classification

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License A61865 (CA) Primary

Authorized official

Name Michael Moon
Title Ceo

Other identifiers

Identifier Type State Issuer
GR009670 Medicaid CA -
127169100 Other CA US DEPARTMENT OF LABOR
ZZZ07215Z Other CA BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Michael Moon MD A Medical Corporation?
NPPES lists Michael Moon (Ceo) as the authorized official for this organization.
What is the NPI number for Michael Moon MD A Medical Corporation?
The NPI for Michael Moon MD A Medical Corporation is 1629023387, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-14.