Organization Active NPI

Clara Hwang Moon

  • Specialist
  • Valencia, CA
National Provider Identifier
1326451022
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT 6012 Issued in CA
Legal business name
CLARA HWANG MOON
Practice address
28093 Smyth Dr
Valencia, CA 91355-4023
Phone
(661) 295-0181
Fax
(661) 295-9776
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Cheryl Coleen Keehne, B.A.
Title
Administrator
Phone
(661) 295-0181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X OT 6012 CA Primary

Addresses

Primary practice location

28093 Smyth Dr
Valencia, CA 91355-4023

Mailing address

28093 Smyth Dr
Valencia, CA 91355-4023
Phone (661) 295-0181

National Provider Directory

National Provider Directory

Locations

28093 Smyth Dr
Valencia, CA 91355
Phone (661) 295-0181

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1326451022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28093 SMYTH DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554023",
            "telephone_number": "661-295-0181",
            "fax_number": "661-295-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28093 SMYTH DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554023",
            "telephone_number": "661-295-0181",
            "fax_number": "661-295-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA HWANG MOON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "KEEHNE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "COLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-295-0181",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT 6012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.