David M Moss, MD | |
17100 Euclid St, Fountain Valley, CA 92708-4004 | |
(714) 966-7200 | |
Not Available |
Full Name | David M Moss |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 17100 Euclid St, Fountain Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598701526 | NPI | - | NPPES |
00A642830 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A64283 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
David M Moss, MD Po Box 20140, Fountain Valley, CA 92728-0140 Ph: (562) 809-3572 | David M Moss, MD 17100 Euclid St, Fountain Valley, CA 92708-4004 Ph: (714) 966-7200 |
Theresa S Maestas, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-966-7200 | |
Ronald J Hitzfield, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9920 Talbert Ave, Fountain Valley, CA 92708 Phone: 714-378-7535 | |
James Pugeda, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 3200, Fountain Valley, CA 92708 Phone: 714-369-1100 Fax: 714-464-4645 | |
Robert C Cockrell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid, Fountain Valley, CA 92708 Phone: 714-966-7200 | |
Craig Farmer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-966-7200 | |
Douglas J Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid, Fountain Valley, CA 92708 Phone: 714-966-7200 | |
Stephen H Morenz, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid, Fountain Valley, CA 92708 Phone: 714-966-7200 |