Byungheon Moon, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

15073 Issued in CA

Practice address

6056 Beach Blvd
Buena Park, CA 90621-2301

Phone

(714) 980-1364

NPI assigned

Nov 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Clark Moon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Double S Company

  • Acupuncturist
  • Buena Park, CA
  • NPI 1285441469
  NPD

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1083968697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212301",
            "telephone_number": "714-980-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212301",
            "telephone_number": "714-980-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "BYUNGHEON",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15073",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARK",
            "last_name": "MOON",
            "credential": "L.AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Miso Acupuncture, Inc.
• Mission Heart & Vascular Clinic, Inc.
• Rebecca Kar-Yiu Miya, PHARM.D
• Mona a Fahmy D.D.S. Inc.
• Kathie Montes, APCC
• Jennifer Moon
• Berenice Morales
• Josephine Morales
• Luis E Moran, DDS
• Mori Medical Equipment Inc

• Acupuncturist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; 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.