| Doctor Name: | MICHAEL T MOSHER |
| NPI Number: | 1053417865 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A62252 |
| Business Practice Address: | 415 Rolling Oaks Dr Suite 280 Thousand Oaks, CA - 913611029 |
| Business Phone Number: | 8054968522 |
| Business Fax Number: | 8054960469 |
| Mailing Address: | 415 Rolling Oaks Dr, Suite 280 THOUSAND OAKS |
| State: | CA |
| Postal Code: | 913611029 |
| Phone Number: | 8054968522 |
| Fax Number: | 8054960469 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | A62252 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |