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ELYSIA MOON
NPI 1104456847
Technician, Other in Anaheim, CA

Active since January 22, 2020
2400 E KATELLA AVE STE 800, ANAHEIM, CA 92806(714) 858-3590 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elysia Moon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELYSIA MOON (NPI 1104456847) is an individual technician, other provider in Anaheim, California and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1104456847
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameELYSIA MOON
Location Address2400 E KATELLA AVE STE 800Anaheim, CA 92806-5955
Mailing Address2400 E Katella Ave Ste 800Anaheim, CA 92806-5955 · (714) 858-3590
Phone(714) 858-3590
Sole ProprietorNo
Enumeration DateJanuary 22, 2020
✔ NPI 1104456847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
2400 E KATELLA AVE STE 800, Anaheim, CA 92806
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIMMY NGUYEN
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
JENNIFER APPLING
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
AMANDA PONCE
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
KIMBERLY GARCIA
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 696-2862
MARIA RENEE PROVENCIO
Behavior Analyst
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
VALERIA MUNIZ
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
KASSANDRA JIMENEZ
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
CHEREE PLETT
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elysia Moon's NPI number?

The NPI number for Elysia Moon is 1104456847. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Where is Elysia Moon located?

Elysia Moon practices at 2400 E Katella Ave Ste 800, Anaheim, CA 92806. The listed phone number is (714) 858-3590.

What is Elysia Moon's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Elysia Moon was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.