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KARYN L GROSSMAN M.D. NPI 1134259104


NPI Information

NPI: 1134259104
Provider Name: KARYN L GROSSMAN, M.D.
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

PECOS Registration: Yes

Address:
2001 SANTA MONICA BLVD STE 1250W
SANTA MONICA, CA
ZIP 90404
Phone: (310) 998-0040
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Karyn L Grossman, M.D. is a procedural dermatology dermatology in Santa Monica, CA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Karyn L Grossman, M.D. NPI is 1134259104. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 SANTA MONICA BLVD STE 1250W
SANTA MONICA, CA
ZIP 90404-217
Phone: (310) 998-0040

The NPI 1134259104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 6/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyG084212CALIFORNIANo
2207NS0135XDermatologyProcedural Dermatology199318NEW YORKNo
3207NS0135XDermatologyProcedural DermatologyG084212CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1199318OTHERNEW YORKSTATE MEDICAL LICENSE
2G84212OTHERCALIFORNIASTATE MEDICAL LICENSE
374551OTHERMASSACHUSETTSSTATE MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.