Moss, Robert Ray

Moss, Robert Ray is an individual health care provider with primary practice located at 525 Plaza Dr Ste 204 , Santa Maria CA 93454-6954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moss, Robert Ray can be contacted via phone (805) 925-3030.

Contact Information

Primary practice address
525 Plaza Dr Ste 204 Santa Maria CA 93454-6954
Phone: (805) 925-3030
Fax: (805) 434-0721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A39763 California

Profile Details

NPI number 1962534909
LBN Legal business name Moss, Robert Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Apr 25th, 2013 - about 12 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 1962534909 NPPES
California MEDICAID 00A397630

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