MEDICARE: MRS. MOON SUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1300X	Psychiatric Pharmacist		DC

General Provider Information

NPI Number	:	1992841068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MOON SUNG

Provider Business Mailing Address
First Line	:	3200 LA ROTONDA DR UNIT 107
Second Line	:
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-6146
Country	:	US
Telephone Number	:	310-265-0246
Fax Number	:	310-265-0246

Provider Business Practice Location Address
First Line	:	1100 PACIFIC COAST HWY
Second Line	:
City	:	HERMOSA BEACH
State	:	CA
Zip	:	90254-3921
Country	:	US
Telephone Number	:	310-374-2435
Fax Number	:	310-374-9586

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1447463096 — DR. MATTHEW DAVID COSTANTINO D.C.
Practice Location Address:

1100 PACIFIC COAST HWY , SUITE A
HERMOSA BEACH, CA
90254-3921

Practice Phone: 310-798-3227
Practice Fax: 310-798-3229

1649242207 — DR. JAMES LE M.D.
Practice Location Address:

116 19TH ST
HUNTINGTON BEACH, CA
92648-3921

Practice Phone: 208-416-2932
Practice Fax:

1720093909 — WALGREEN CO
Practice Location Address:

10951 S JOG RD
BOYNTON BEACH, FL
33437-3921

Practice Phone: 561-734-6848
Practice Fax:

1760499792 — WALGREEN CO
Practice Location Address:

600 SEABREEZE BLVD
DAYTONA BEACH, FL
32118-3921

Practice Phone: 386-255-8802
Practice Fax:

1548354970 — DR. MICHAEL WAYNE DUKES DMD
Practice Location Address:

100 ROYAL PALMS DR.
ATLANTIC BEACH, FL
32233-3921

Practice Phone: 904-241-5342
Practice Fax: 904-241-5966

1366510588 — DR. ANJALI JAIN LUECK DMD
Practice Location Address:

100 ROYAL PALMS DR
ATLANTIC BEACH, FL
32233-3921

Practice Phone: 904-241-5342
Practice Fax: 904-241-5966

Directions to “ MRS. MOON SUNG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.