Moonfield Medical MGMT. Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

A032377 Issued in CA

Legal business name

MOONFIELD MEDICAL MGMT. CORP

Practice address

710 E Parkridge Ave
Corona, CA 92879-1097

Phone

(951) 734-7600

Fax

(951) 734-1557

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Moon Y. Lee, M.D.

Title

President

Phone

(951) 734-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MOON Y. LEE,M.D. Other name

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1457576167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928781269",
            "telephone_number": "951-734-7600",
            "fax_number": "951-734-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E PARKRIDGE AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791097",
            "telephone_number": "951-734-7600",
            "fax_number": "951-734-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONFIELD MEDICAL MGMT. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MOON",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-734-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A032377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A323770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOON Y. LEE,M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shilita Kay Montez
• Melanie Mooangprang
• Janice Lynn Moody, LCSW
• Moon G Yun MD, Inc
• Theresa Kyunghoi-Kim Moon, MD
• April Kimberly Moore, RRW
• Ashleigh Marie Moore, NP
• Britney Kathleen Moore, LMFT M.A.
• Bryan L Moore
• Elijah Anthony Allan Moore

• Specialist in Corona, CA
• Providers in Corona, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.