# JAY S.H. MASSERMAN, M.D., INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609148956
- **Authorized official:** JAY S.H. MASSERMAN M.D. (PRESIDENT)
- **Authorized official phone:** (714) 556-0536

## Contact information

- **Practice address:** 11180 WARNER AVE., SUITE \#455, FOUNTAIN VALLEY, CA 92708
- **Practice address phone:** (714) 556-0536
- **Practice address fax:** (714) 435-9640
- **Mailing address:** 11180 WARNER AVENUE, SUITE 455, FOUNTAIN VALLEY, CA 92708
- **Mailing address phone:** (714) 556-0536
- **Mailing address fax:** (714) 435-9640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 02/02/2012