Sun and Moon Clinic Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

C804338 Issued in CO

Legal business name

SUN AND MOON CLINIC INC

Practice address

11175 E Mississippi Ave Ste 232
Aurora, CO 80012-3137

Phone

(303) 340-8977

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gwan Ho Lee

Title

Owner

Phone

(303) 340-8977

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean H.W Lee, P.T

  • Physical Therapist
  • Valparaiso, IN
  • NPI 1841407277
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306877311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 E MISSISSIPPI AVE STE 232",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 E MISSISSIPPI AVE STE 232",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123137",
            "telephone_number": "303-340-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN AND MOON CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GWAN",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-340-8977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "C804338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Homes
• Summit Integrative Mindcare PLLC
• Summit Smiles Dental
• Jill L Sumner, D.M.D.
• Anais Sumnicht, PTA
• Sun Tree Hospice of Colorado LLC
• Sun Tree Palliative Care and Physician Services LLC (Sun Tree Palliative Care)
• Sun Villa Assisted Living LLC
• Alexander Sun, MD
• Eileen Sun, PHD

• Physical Medicine & Rehabilitation Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.