Individual provider · Type 1 NPI
Sandra Moon
Pediatric Nurse Practitioner · Los Angeles, CA
NPI number
1689059016
Active
Practice location
3810 Wilshire Blvd Apt 2211, #2211
Los Angeles, CA 90010-3230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95001140 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1689059016
Sandra Moon's National Provider Identifier is 1689059016, issued on Jul 27, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 10, 2022.