Jin Moon Chiropractic Group, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28135 Issued in CA

Legal business name

JIN MOON CHIROPRACTIC GROUP, INC.

Practice address

6888 Lincoln Ave
Suite C
Buena Park, CA 90620-4107

Phone

(714) 484-9000

NPI assigned

Dec 8, 2008

Organization subpart

No

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

Authorized official

Name

Jin MoonNPI 1740486356

Title

President

Phone

(714) 484-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Mellany Javier Ilagan-Adamson, PT

  • Physical Therapy Clinic/Center
  • Huntington Beach, CA
  • NPI 1144522384
  Medicare reassignment Care Compare group NPD
• Jin Woo Moon, D.C.

  • Chiropractor
  • Anaheim, CA
  • NPI 1740486356
  Medicare reassignment NPD Authorized official
• Sir Avilin Rivera Yu, OTR/L

  • Occupational Therapist
  • Anaheim, CA
  • NPI 1720104730
  Medicare reassignment Care Compare group NPD
• Michael Vincent Bigay, P.T.

  • Physical Therapist
  • Stanton, CA
  • NPI 1043267834
  NPD

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1750526547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 LINCOLN AVE",
            "address_2": "SUITE C",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 LINCOLN AVE",
            "address_2": "SUITE C",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204107",
            "telephone_number": "714-484-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN MOON CHIROPRACTIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-484-9000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyejin Jeong
• Sarah Jeong, L.AC
• Chul An Jeoung
• Jesus L. Licuanan, M.D. Inc
• Jey Promed Corporation
• Stella Jin
• JKPC, LLC
• JNH Home Care, Inc.
• JNJ Acupuncture Inc
• Duke J Johnson, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.