Individual
RONALD B MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
517 HIDDEN RIDGE CT, ENCINITAS, CA 92024-5838
(760) 436-6404
(760) 462-3986
Mailing address
PO BOX 41, SOLANA BEACH, CA 92075-0041
(619) 742-6035
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
G79340
CA
261QM2500X
Medical Specialty Clinic/Center
Primary
G79340
CA
Other
Enumeration date
10/18/2008
Last updated
03/28/2026
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