Individual
DR. GAELEN B STANFORD-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPHIL
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A166531
CA
207YS0123X
Facial Plastic Surgery Physician
Primary
A166531
CA
Other
Enumeration date
05/03/2018
Last updated
01/13/2026
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