LATASHA CHRISTINE MOON CRANIAL PROSTHESIS
NPI 1710577168
Specialist in Redding, CA

Active since January 20, 2021
1267 WILLIS ST # 200, REDDING, CA 96001(916) 365-2013 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Latasha Christine Moon Cranial Prosthesis NPPES

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

LATASHA CHRISTINE MOON CRANIAL PROSTHESIS (NPI 1710577168) is an individual specialist in Redding, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1710577168
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLATASHA CHRISTINE MOONCredential: CRANIAL PROSTHESIS
Location Address1267 WILLIS ST # 200Redding, CA 96001-0400
Mailing Address9821 Partington CirElk Grove, CA 95757-6282 · (216) 798-4599
Sole ProprietorYes
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
NPI 1710577168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1267 WILLIS ST # 200, Redding, CA 96001

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

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 Latasha Moon's NPI number?

The NPI number for Latasha Moon is 1710577168. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Latasha Moon located?

Latasha Moon practices at 1267 Willis St # 200, Redding, CA 96001. The listed phone number is (916) 365-2013.

What is Latasha Moon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Latasha Moon was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.