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Deactivated NPI 1295803393 Deactivated / Inactive NPI Male Practitioner

Dr. Moon Y Lee , MD

Surgery • Corona, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Moon Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 30, 2006
NPI Deactivation Date March 20, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Moon Lee, MD was a registered Surgery practicing in Corona, CA. Throughout an active medical career spanning 11 years, Dr. Lee provided care at the practice location at 710 E PARKRIDGE AVE until profile deactivation on 2017-03-20.

Practice Location & Contact Primary Location

Practice Address

710 E Parkridge Ave
Suite 103

Corona, CA 92879

Telephone 9517347600
Fax 9517341557
Associated Practice Facility / Clinic
🏢 Moonfield Medical Mgmt. Corp Facility NPI 1457576167

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Corona, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.2 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Corona, CA (3346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A32377

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2017

Record deactivated on March 20, 2017

NPI Profile Active October 30, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 30, 2007

Registered at 710 E PARKRIDGE AVE, SUITE 103, CORONA, CA 92879 (Tel: 9517347600)

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Updated Business Mailing Address October 30, 2007

Registered at PO BOX 1269, CORONA, CA 92878 (Tel: 9517347600)

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Provider Name / Credentials Updated October 30, 2007

Recorded as MOON LEE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2007

Surgery (License #A32377 in CA)

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Initial NPI Registration & Enumeration November 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295803393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: October 30, 2007
Deactivation Date: March 20, 2017

Mailing Address

Po Box 1269

Corona, CA 92878

Phone: 9517347600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.