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RALPH A MASSEY MD INC NPI 1174700702


NPI Information

NPI: 1174700702
Provider Name: RALPH A MASSEY MD INC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
1260 15TH ST
STE 1401
SANTA MONICA, CA
ZIP 90404
Phone: (310) 434-2495
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RALPH A MASSEY MD INC is a mohs-micrographic surgery dermatology in Santa Monica, CA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. RALPH A MASSEY MD INC NPI is 1174700702. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1260 15TH ST
STE 1401
SANTA MONICA, CA
ZIP 90404
Phone: (310) 434-2495
Fax: (310) 434-2497

The provider's authorized official is Ralph A Massey .
The authorized official title is President Medical Director and has the following contact phone number (310) 434-2495.

The enumeration date for this NPI number is 1/25/2008 and was last updated on 5/10/2010.


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
1207ND0900XDermatologyDermatopathologyNo
2207NS0135XDermatologyProcedural DermatologyNo
3207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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
1A52535MEDICARE PINCALIFORNIA
26380638MEDICAIDCALIFORNIA
3G3600MEDICARE UPINCALIFORNIA

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

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