MOON M OH M D INC
NPI 1174756357
Family Medicine in Irvine, CA

Active since September 03, 2009CLIA 05D2000460 · Waiver
3500 BARRANCA PKWY, 330, IRVINE, CA 92606(949) 552-8217(949) 809-9514 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Moon M Oh M D Inc NPPES

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

MOON M OH M D INC (NPI 1174756357), doing business as Irvine Professional Medical Group, is a healthcare organization registered as a family medicine in Irvine, California and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Moon M Oh, Owner, as its authorized official.

NPPES Registry Identity

NPI1174756357
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOON M OH M D INC
Location Address3500 BARRANCA PKWY, 330Irvine, CA 92606-8226
Mailing Address3500 Barranca Pkwy Ste 330Irvine, CA 92606-8288 · (949) 552-8217 · Fax (949) 809-9514
Fax(949) 809-9514
Organization SubpartNo
Authorized OfficialMoon M OhOwner · (949) 552-8216
Enumeration DateSeptember 3, 2009
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1174756357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A107209
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3500 BARRANCA PKWY, Irvine, CA 92606

Other Names 2

Doing Business AsIrvine Professional Medical Group
Other NameMoon M. Oh Md, Inc

Other Identifiers 1

OtherA107209CA · Medical Board Of California

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2000460

Moon M. Oh, MD, Inc. · Irvine, CA
Active · expires Nov 30, 2027
CLIA Number05D2000460
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorMoon M. Oh, MD
Laboratory Phone(949) 552-8217
Laboratory LocationMoon M. Oh, MD, Inc.3500 Barranca Pkwy Ste 330, Irvine, CA 92606
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Physical Therapist
3500 BARRANCA PKWY, SUITE 220
IRVINE, CA 92606
Dentist (General Practice)
3500 BARRANCA PKWY, SUITE # 270
IRVINE, CA 92606
Surgery (Plastic and Reconstructive Surgery)
3500 BARRANCA PKWY, STE. 110
IRVINE, CA 92606
Specialist
3500 BARRANCA PKWY, SUITE 300
IRVINE, CA 92606
Nurse Practitioner (Pediatrics)
3500 BARRANCA PKWY, SUITE 160
IRVINE, CA 92606
Legal Medicine
3500 BARRANCA PKWY, SUITE 330
IRVINE, CA 92606
Clinic/Center
3500 BARRANCA PKWY, SUITE 300
IRVINE, CA 92606
Dermatology (Pediatric Dermatology)
3500 BARRANCA PKWY, STE 160
IRVINE, CA 92606

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 Moon M Oh M D Inc's NPI number?

The NPI number for Moon M Oh M D Inc is 1174756357. It was assigned to this organization in the NPPES registry on September 3, 2009. The provider is doing business as Irvine Professional Medical Group. The provider is also known as Moon M. Oh MD, Inc.

Where is Moon M Oh M D Inc located?

Moon M Oh M D Inc is located at 3500 Barranca Pkwy 330, Irvine, CA 92606. The listed phone number is (949) 552-8217.

What is Moon M Oh M D Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Moon M Oh M D Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2000460) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moon M Oh M D Inc was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.