Moss, Robert Allan

Moss, Robert Allan is an sole proprietor health care provider with primary practice located at 11180 Warner Ave Ste 467 , Fountain Valley CA 92708-7505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Moss, Robert Allan can be contacted via phone (714) 641-1128.

Contact Information

Primary practice address
11180 Warner Ave Ste 467 Fountain Valley CA 92708-7505
Phone: (714) 641-1128
Fax: (714) 540-7610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G33764 California

Profile Details

NPI number 1861503609
LBN Legal business name Moss, Robert Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 20th, 2020 - about 5 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 1861503609 NPPES
California MEDICAID 00G337640

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