| Theresa Kyunghoi-kim Moon, MD | |
|
2813 S Main St, Corona, CA 92882-5942 | |
| (951) 737-2962 | |
| (951) 737-2783 |
| Full Name | Theresa Kyunghoi-kim Moon |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Forensic Psychiatry |
| Location | 2813 S Main St, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477581270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | A43482 (California) | Primary |
| Entity Name | County Of Riverside |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811255060 PECOS PAC ID: 8527223304 Enrollment ID: O20120628000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Kyunghoi-kim Moon, MD 18692 Patrician Dr, Villa Park, CA 92861-4211 Ph: (714) 633-0184 | Theresa Kyunghoi-kim Moon, MD 2813 S Main St, Corona, CA 92882-5942 Ph: (951) 737-2962 |
Dr. Purshotam B Kataria, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 112 W Grand Blvd, Corona, CA 92882 Phone: 951-735-6000 Fax: 951-735-6960 | |
Dr. Stella Jin Kim, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2055 Kellogg Ave, Corona, CA 92879 Phone: 951-248-4000 | |
Dr. Louis Richard Alvarez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 16756 Chino-corona Road, California Institution For Women, Corona, CA 92878 Phone: 909-597-1771 | |
Dr. Vedhire Subbalaxmi Reddy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2813 S Main St, Corona, CA 92882 Phone: 951-273-0608 | |
Dr. Marianne Bergheim, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2055 Kellogg Ave, Corona, CA 92879 Phone: 951-898-7010 | |
Rubina Mumtaz Faizy, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 770 Magnolia Ave Ste 2f, Corona, CA 92879 Phone: 951-356-5414 |