Individual
JAKE R MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 N ROSE AVE, OXNARD, CA 93030-3722
(805) 988-2500
Mailing address
12858 WOODBRIDGE ST, STUDIO CITY, CA 91604-1560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95133238
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002485
CA
Other
Enumeration date
07/28/2023
Last updated
04/03/2025
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