| NPI | 1528632627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M MOSS President 650-714-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |