Individual
RALPH A MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207N00000X
Dermatology Physician
A52535
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A52535
CA
207NS0135X
Procedural Dermatology Physician
A52535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6380638
—
CA
Enumeration date
07/31/2006
Last updated
08/04/2015
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