TINA MOON, PA-C
Physician Assistant
Active
Individual
NPI: 1104946383
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 15164 (CA) |
Frequently Asked Questions
NPI 1104946383 is the National Provider Identifier for TINA MOON, PA-C, a Physician Assistant provider located in San Dimas, CA. This NPI was enumerated on March 30, 2007.
TINA MOON, PA-C practices at 1334 W COVINA BLVD, SUITE 102, San Dimas, CA 91773.
Quick Facts
- NPI
- 1104946383
- Type
- Individual
- Enumerated
- Mar 30, 2007
- Last Updated
- Jul 8, 2007
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