IndividualActive
Gaelen Stanford-Moore, MD, MPHIL
NPI 1891284014 · Facial Plastic Surgery Physician · San Francisco, CA
Provider details
- NPI number
- 1891284014
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPHIL
- Sex
- Female
- Sole proprietor
- No
- License
- A166531 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2351 Clay St Ste 501
San Francisco, CA 94115-1931
Phone: (415) 600-3898
Fax: (415) 369-1380
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 276950
Sacramento, CA 95827-6950
Additional practice locations (1)
- 165 Rowland Way Ste 201Novato, CA 94945-5055Phone: (415) 600-3898Fax: (415) 369-1380
Registry dates
- Enumerated
- 2018-05-03
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.