Moss, Lewis M

Moss, Lewis M is an individual health care provider with primary practice located at 364 Ocean Ave , Laguna Beach CA 92651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moss, Lewis M can be contacted via phone (949) 557-0610.

Contact Information

Primary practice address
364 Ocean Ave Laguna Beach CA 92651
Phone: (949) 557-0610
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C32298 California

Profile Details

NPI number 1568490332
LBN Legal business name Moss, Lewis M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Sep 24th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568490332 NPPES
California MEDICAID 00C322980
California Other 00C322980
California Other C32298

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