PAINCARE OF SAN DIEGO, AMC - NPI 1629023387 - Physical Medicine & Rehabilitation in San Diego, CA

Q: What is Michael Moon MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

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About Paincare Of San Diego, Amc NPPES

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

PAINCARE OF SAN DIEGO, AMC (NPI 1629023387) is a healthcare organization registered as a pain medicine in San Diego, California and active in the NPI registry since May 2006. The organization lists Michael Moon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629023387

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NameMICHAEL MOON MD A MEDICAL CORPORATION

Location Address5348 CARROLL CANYON RD, SUITE 101San Diego, CA 92121-1733

Mailing Address5348 Carroll Canyon Rd, Suite 101San Diego, CA 92121-1733 · (858) 202-1546 · Fax (858) 202-1548

Phone(858) 202-1546

Fax(858) 202-1548

Organization SubpartNo

Authorized OfficialMichael MoonCeo · (858) 202-1546

Enumeration DateMay 23, 2006

Last NPPES UpdateJune 14, 2022

NPPES CertifiedJune 8, 2022

✔ NPI 1629023387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in CA · A61865

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

5348 CARROLL CANYON RD, San Diego, CA 92121

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Other Names 1

Doing Business AsPaincare Of San Diego, Amc

Other Identifiers 3

Other127169100CA · Us Department Of Labor

MedicaidGR009670CA

OtherZZZ07215ZCA · Blue Shield

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

Other Providers at the Same Location NPPES 5

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

DR. SABINA SEHGAL PHD

Psychologist (Clinical)