Provider Demographics
NPI:1003476508
Name:WILLIAM D. MOSIER, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:WILLIAM D. MOSIER, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:MOSIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-871-2570
Mailing Address - Street 1:265 LAGUNA RD
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-2515
Mailing Address - Country:US
Mailing Address - Phone:714-871-2570
Mailing Address - Fax:714-441-2020
Practice Address - Street 1:265 LAGUNA RD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-2515
Practice Address - Country:US
Practice Address - Phone:714-871-2570
Practice Address - Fax:714-441-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty