Wan Hee Y. Moon, PH. D., R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00370020 Issued in CA

Practice address

1720 Termino Ave
Long Beach, CA 90804-2104

Phone

(562) 498-1000

Fax

(562) 494-0547

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennie Moon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841204385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042104",
            "telephone_number": "562-498-1000",
            "fax_number": "562-494-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042104",
            "telephone_number": "562-498-1000",
            "fax_number": "562-494-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "WAN HEE",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "PH. D., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "00370020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "MOON",
            "prefix": "DR.",
            "credential": "PH. D., R.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Savannah Jade Montoya
• Zoe Isabel Montoya, MD
• Emma Isabel Moon, MS, BCBA
• Jee-Eun Jenny Moon, LCSW
• Kathy Inkyung Moon, LCSW
• Yong S.K. Moon, PHARM.D.
• Alison Leigh Mooney, RN
• Moonrise Healthcare, Inc.
• Moonview Counseling Licensed Clinical Social Worker Corporation
• Cynthia Kathleen Moore, M.D

• Registered Dietitian in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.