Organization
WAYWARD CARE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MOSSER MD (MEDICAL DIRECTOR)
(415) 780-1515
Entity
Organization
Contact information
Practice address
301 S FAIR OAKS AVE STE 105, PASADENA, CA 91105-2536
(415) 780-1515
Mailing address
301 S FAIR OAKS AVE STE 105, PASADENA, CA 91105-2536
(415) 780-1515
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
07/07/2025
Last updated
08/01/2025
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