Individual
FREDERICK VAN MOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 PARNASSUS AVE FL 3, SAN FRANCISCO, CA 94143-2204
(415) 514-5681
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A182405
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
03/27/2026
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