Individual
DR. CHARLES A MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
45 CASTRO ST, SAN FRANCISCO, CA 94114-1010
(415) 600-4900
(415) 369-1365
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-4900
(415) 369-1365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G75487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001CA04167
TRICARE
CA
01
—
00G754870
BLUE SHIELD
CA
05
—
00G754870
—
CA
01
—
110129325
RAILROAD MEDICARE
CA
Enumeration date
08/02/2005
Last updated
08/28/2020
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