National Provider Identifier Database

HAE JUNG MOON, ABO, NCLE – NPI #1356628846
Optician


Contact Information

HAE JUNG MOON, ABO, NCLE
24228 CRENSHAW BLVD
TORRANCE, CA90505-5303
Phone: 310-539-2449
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Contact Lens 156FC0800X

* Indicates primary specialty

NPI Profile & details for HAE JUNG MOON

NPI Number 1356628846
Credentials ABO, NCLE
Entity Individual
Enumeration date 11/10/2011
Last updated 11/10/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: CL1788
  • CA License #: SL5735
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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