Individual
JOHN E MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15047 LOS GATOS BLVD, STE 200, LOS GATOS, CA 95032-2054
(408) 364-6799
(408) 378-4510
Mailing address
15047 LOS GATOS BLVD, STE 200, LOS GATOS, CA 95032-2054
(408) 364-6799
(408) 378-4510
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G76734
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G76734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ23054Z
MEDICARE PTAN
CA
Enumeration date
02/26/2007
Last updated
03/19/2009
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