Organization
JASON M MOSS, MD, MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M MOSS MD (PRESIDENT)
(650) 714-9434
Entity
Organization
Contact information
Practice address
5555 RESERVOIR DR STE 201, SAN DIEGO, CA 92120-5191
(650) 714-9434
Mailing address
5555 RESERVOIR DR STE 201, SAN DIEGO, CA 92120-5191
(650) 714-9434
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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