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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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