Lewis M Moss, MD | |
364 Ocean Ave, Laguna Beach, CA 92651 | |
(949) 557-0610 | |
Not Available |
Full Name | Lewis M Moss |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 364 Ocean Ave, Laguna Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568490332 | NPI | - | NPPES |
00C322980 | Medicaid | CA | |
00C322980 | Other | CA | BLUE SHIELD |
C32298 | Other | CA | ANTHEM BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | C32298 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | St Jude Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720190804 PECOS PAC ID: 8224923479 Enrollment ID: O20040217001064 |
Entity Name | Hoag Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
Mailing Address | Practice Location Address |
---|---|
Lewis M Moss, MD 364 Ocean Ave, Laguna Beach, CA 92651-2322 Ph: () - | Lewis M Moss, MD 364 Ocean Ave, Laguna Beach, CA 92651 Ph: (949) 557-0610 |
Susan K. Munden, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 31872 Coast Hwy, Laguna Beach, CA 92651 Phone: 949-499-1311 | |
Dr. Timothy Earl Korber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Emerald Bay, Laguna Beach, CA 92651 Phone: 949-494-5154 | |
True Luu Mcmahan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 31872 South Coast Highway, Laguna Beach, CA 92651 Phone: 949-449-7193 | |
Michael George Bower, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 31872 Coast Hwy, Laguna Beach, CA 92651 Phone: 949-499-1311 | |
Dr. William Carl Anderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 364 Ocean Avenue, Laguna Beach, CA 92651 Phone: 949-494-3740 | |
Marc David Taub, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 31872 South Coast Highway, Laguna Beach, CA 92651 Phone: 949-499-1311 |