Organization
RALPH A MASSEY MD INC
Active
Organization
RALPH A MASSEY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH A MASSEY MD (PRESIDENT MEDICAL DIRECTOR)
(310) 434-2495
Entity
Organization
Contact information
Practice address
1260 15TH ST, STE 1401, SANTA MONICA, CA 90404
(310) 434-2495
(310) 434-2497
Mailing address
1260 15TH ST, STE 1401, SANTA MONICA, CA 90404
(310) 434-2495
(310) 434-2497
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6380638
—
CA
Enumeration date
01/25/2008
Last updated
05/10/2010
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