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General NPI Number Information
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NPI Number | 1679818264
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Entity Type | Organization
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Legal Business Name | WILLIAM D. MOSIER, M.D.
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Dates
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Enumeration Date | 12/07/2012
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 265 LAGUNA RD
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City | FULLERTON
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State | CA
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Zip | 92835-2515
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Country | US
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Telephone | 714-871-2570
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Fax | 714-441-2020
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Provider Business Mailing Address
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Address Line | 265 LAGUNA RD
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City | FULLERTON
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State | CA
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Zip | 92835-2515
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Country | US
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Telephone | 714-871-2570
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Fax | 714-441-2020
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. WILLIAM D MOSIER
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Credential | M.D.
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Telephone | 714-871-2570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10328T
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6488T
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A41428
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License Number State | CA
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