| Doctor Name: | MYUNGSUN JIM MOON |
| NPI Number: | 1912078999 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A71123 |
| Business Practice Address: | 13652 Cantara St Panorama City, CA - 914025423 |
| Business Phone Number: | 8183752000 |
| Business Fax Number: | |
| Mailing Address: | 13652 Cantara St, PANORAMA CITY |
| State: | CA |
| Postal Code: | 914025423 |
| Phone Number: | 8183752000 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 03/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | A71123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |