# JOHN MICHAEL MOOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699920652
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | A106052 | CA | — |
| 208600000X | Surgery Physician | A106052 | CA | — |
| 208D00000X | General Practice Physician | A106052 | CA | Yes |

## Other

- **Enumeration date:** 11/18/2008
- **Last updated:** 07/22/2022