MEDICARE: DR. SCOTT MOSSER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	A82437	CA

General Provider Information

NPI Number	:	1669552212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT MOSSER MD

Provider Business Mailing Address
First Line	:	450 SUTTER ST RM 1010
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-3912
Country	:	US
Telephone Number	:	415-780-1515
Fax Number	:	628-867-6510

Provider Business Practice Location Address
First Line	:	450 SUTTER ST RM 1010
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-3912
Country	:	US
Telephone Number	:	415-780-1515
Fax Number	:	628-867-6510

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	02/05/2024

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Directions to “ DR. SCOTT MOSSER MD” Practice Location

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