Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sandra Moon

Individual provider Pediatric Nurse Practitioner · NPI 1689059016

Sandra Moon is a Pediatric Nurse Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

3810 Wilshire Blvd Apt 2211 #2211
Los Angeles, CA 90010-3230
Phone: (310) 729-7785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 95001140 (CA)

Record details

NPI number1689059016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2015
Last updated in NPPESFebruary 10, 2022

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