Individual provider · Type 1 NPI

Elysia Moon

Other Technician · Anaheim, CA

NPI number 1104456847 Active

Practice location

2400 E Katella Ave Ste 800
Anaheim, CA 92806-5955

Call (714) 858-3590 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1104456847

Elysia Moon's National Provider Identifier is 1104456847, issued on Jan 22, 2020. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Anaheim, CA. The record was last updated on Jan 22, 2020.