Sun Moon & Stars Medical Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SUN MOON & STARS MEDICAL CORPORATION

Practice address

1363 Donlon St Ste 13
Ventura, CA 93003-5638

Phone

(805) 330-0706

NPI assigned

Jan 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sun Moon Lee, MD

Title

Medical Director

Phone

(805) 330-0706

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Diagnostic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sun Moon & Stars Medical Corporation

  • Pediatrics Physician
  • Oxnard, CA
  • NPI 1508521519
  NPD tax ID

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1104579291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 DONLON ST STE 13",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035638",
            "telephone_number": "805-330-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 DONLON ST STE 13",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035638",
            "telephone_number": "805-330-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MOON & STARS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "MOON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-330-0706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Suh, PHARMD
• Peter H Suh, DMD
• Sunita Angela Sujanani, MD
• Jonathan Vivek Sukumar, D.O.
• Kristen Sullivan, PH.D.
• Carrie Sundberg, LCSW
• Sunrise Birth Center
• Sunrise Birth Center
• David Surace, DO
• Surfside Nutrition, LLC

• Dentist in Ventura, CA
• Providers in Ventura, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.