Healthcare Provider Details

I. General information

NPI: 1801816921
Provider Name (Legal Business Name): MOSHE LEWIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 MAIN ST STE 200
REDWOOD CITY CA
94063-1759
US

IV. Provider business mailing address

369 MAIN ST STE 200
REDWOOD CITY CA
94063-1759
US

V. Phone/Fax

Practice location:
  • Phone: 650-366-4542
  • Fax: 310-903-4257
Mailing address:
  • Phone: 650-366-4542
  • Fax: 310-903-4257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA90204
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: