Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 223868 | MA |
N | 111NI0900X | Internist | 223868 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 036.125773 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | C145026 | CA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 036.125773 | IL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | C145026 | CA |
NPI | 1235129073 |
---|---|
Provider Name | Dr. Joshua David Moss |
First Address | San Francisco, CA 94143-2203 |
Second Address | San Francisco, CA 94143-2203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 14/10/2021 |