Individual provider · Type 1 NPI

Heeju Moon

Student in an Organized Health Care Education/Training Program · Palmdale, CA

NPI number 1891672879 Active

Practice location

525 W Avenue P4
Palmdale, CA 93551-3743

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891672879

Heeju Moon's National Provider Identifier is 1891672879, issued on Aug 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palmdale, CA. The record was last updated on Aug 20, 2025.