Organization
DERMATOLOGY AND FACIAL PLASTICS EXPERTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L MOY M.D. (MEDICAL DOCTOR)
(310) 274-5327
Entity
Organization
Contact information
Practice address
421 N. RODEO DR, T7, BEVERLY HILLS, CA 90210-4500
(910) 274-5372
(310) 274-5380
Mailing address
421 N. RODEO DR, T7, BEVERLY HILLS, CA 90210-4500
(910) 274-5372
(310) 274-5380
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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