NPIMap

Organization Active NPI

Palos Verdes Skin Surgery Center Inc.

  • MOHS-Micrographic Surgery Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1154543825
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A84759 Issued in CA
Legal business name
PALOS VERDES SKIN SURGERY CENTER INC.
Practice address
550 Deep Valley Dr
Suite 287 PV Dermatology
Rolling Hills Estates, CA 90274
Phone
(310) 541-7800
Fax
(310) 541-7808
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Howard Fein, MD
Title
President
Phone
(310) 541-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A84759 CA Primary

Addresses

Primary practice location

550 Deep Valley Dr
Suite 287 PV Dermatology
Rolling Hills Estates, CA 90274

Mailing address

550 Deep Valley Dr
Suite 287 PV Dermatology
Rolling Hills Estates, CA 90274
Phone (310) 541-7800

National Provider Directory

National Provider Directory
Tax ID family
Palos Verdes Dermatology Surgery Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154543825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 DEEP VALLEY DR",
            "address_2": "SUITE 287 PV DERMATOLOGY",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "310-541-7800",
            "fax_number": "310-541-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 DEEP VALLEY DR",
            "address_2": "SUITE 287 PV DERMATOLOGY",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "310-541-7800",
            "fax_number": "310-541-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS VERDES SKIN SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEIN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-541-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A84759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.