Individual
DR. JASON M MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 RESERVOIR DR, STE 201, SAN DIEGO, CA 92120-5191
(619) 800-1756
Mailing address
5555 RESERVOIR DR, STE 201, SAN DIEGO, CA 92120-5191
(619) 800-1756
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A130529
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A130529
CA
Other
Enumeration date
04/29/2010
Last updated
01/03/2024
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