| Andrew Moon, DPT | |
|
2425 Geary Blvd, San Francisco, CA 94115-3358 | |
| (415) 833-4718 | |
| Not Available |
| Full Name | Andrew Moon |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 2425 Geary Blvd, San Francisco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255641668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 37230 (California) | Primary |
| Provider Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Moon, DPT 2425 Geary Blvd, San Francisco, CA 94115-3358 Ph: (415) 833-4718 | Andrew Moon, DPT 2425 Geary Blvd, San Francisco, CA 94115-3358 Ph: (415) 833-4718 |
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