Individual
THOMAS JOSEPH MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7120 HAYVENHURST AVE, SUITE 317, VAN NUYS, CA 91406-3843
(818) 782-5940
Mailing address
7120 HAYVENHURST AVE, SUITE 317, VAN NUYS, CA 91406-3843
(818) 782-5940
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
G42809
CA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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