# DR. RONALD B MOSS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740655935
- **Authorized official:** RONALD B MOSS M.D. (CEO)
- **Authorized official phone:** (619) 742-6035

## Contact information

- **Practice address:** 517 HIDDEN RIDGE CT, ENCINITAS, CA 92024-5838
- **Practice address phone:** (760) 436-6404
- **Practice address fax:** (760) 462-3986
- **Mailing address:** 1931 AVENIDA JOAQUIN, ENCINITAS, CA 92024-7108
- **Mailing address phone:** (619) 742-6035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | G79340 | CA | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | G79340 | CA | Yes |

## Other

- **Enumeration date:** 12/14/2015
- **Last updated:** 06/30/2026