Individual provider · Type 1 NPI

Gaelen B. Stanford-Moore, MD, MPHIL

Facial Plastic Surgery Physician · San Francisco, CA

NPI number 1891284014 Active

Practice location

2351 Clay St Ste 501
San Francisco, CA 94115-1931

Fax (415) 369-1380

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Other practice locations

  • 165 Rowland Way Ste 201, Novato, CA 94945-5055 · (415) 600-3898

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000XA166531 (CA)
Facial Plastic Surgery Physician Primary 207YS0123XA166531 (CA)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

3 other providers at this address

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About NPI 1891284014

Gaelen B. Stanford-Moore, MD, MPHIL's National Provider Identifier is 1891284014, issued on May 3, 2018. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in San Francisco, CA. The record was last updated on Jan 13, 2026.