Search › California › 171100000X
Gabriel Moon
NPI 1659431435 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1455 N Waterman Ave
Ste 119
San Bernardino, CA 92404 - Phone
- (909) 889-8967
- Fax
- (909) 889-8967
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
171100000X - Licence states on file
- CT, NY, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California