| NPI | 1053201475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MOSSER Medical Director 415-780-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-08-01 |