Charles Allen Moss, MD is a
Family Medicine physician based in La Jollaa, California. Charles Allen Moss is licensed to practice in California (license number G033632) and his current practice location is 8950 Villa La Jolla Drive, A217, La Jollaa, California. He can be reached at his office (for appointments etc.) via phone at
(858) 457-1314.
NPI number for Charles Allen Moss is 1215055207 and his current mailing address is 8950 Villa La Jolla Drive, A217, La Jollaa, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215055207.
Physician's Profile
Full Name | Charles Allen Moss |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 8950 Villa La Jolla Drive, La Jollaa, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215055207
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Charles Allen Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215055207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | G033632 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Allen Moss is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charles Allen Moss, MD 8950 Villa La Jolla Drive, A217, La Jollaa, CA 92037-1711 Ph: (858) 457-1314 | Charles Allen Moss, MD 8950 Villa La Jolla Drive, A217, La Jollaa, CA 92037-1711 Ph: (858) 457-1314 |
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