# ASHLEY MAGOVERN, MD 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
- **Other names:** Manhattan Dermatology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912290503
- **Authorized official:** DR. ASHLEY MAGOVERN M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (310) 546-1188

## Contact information

- **Practice address:** 400 S SEPULVEDA BLVD, SUITE 205, MANHATTAN BEACH, CA 90266-6814
- **Practice address phone:** (310) 546-1188
- **Mailing address:** 400 S SEPULVEDA BLVD, SUITE 205, MANHATTAN BEACH, CA 90266-6814
- **Mailing address phone:** (310) 546-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A103514 | CA | Yes |

## Other

- **Enumeration date:** 05/16/2011
- **Last updated:** 05/16/2011