Kyungmi Moon, SONOGRAPHER

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

250303

Practice address

767 Academy Dr
Solana Beach, CA 92075-2031

Phone

(858) 703-7067

NPI assigned

Oct 4, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allive Ultrasound Imaging LLC

  • Sonography Radiologic Technologist
  • Solana Beach, CA
  • NPI 1356066740

  Multi-Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1013632934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 BROOKBURN DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302779",
            "telephone_number": "858-775-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 ACADEMY DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752031",
            "telephone_number": "858-703-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "KYUNGMI",
        "credential": "SONOGRAPHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": "250303",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": "250303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Perlman MD Inc.
• Monica Perlman MD, Inc
• Monsef Dental Corporation
• Jay J Monsef, D.D.S.
• Christie Lane Montgomery, LCSW
• Stan Robert Moore, PH.D.
• Brandice Morisoli, PHARMD
• Motherbaby Arts
• Motivity Physical Therapy and Performance PC
• Erica Marie Moyer

• Sonography Radiologic Technologist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Sonography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.