Lawrence S. Moy MD Inc

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

G62367 Issued in CA

Legal business name

LAWRENCE S. MOY MD INC

Practice address

1101 N Sepulveda Blvd Ste 100
Manhattan Beach, CA 90266-5962

Phone

(310) 546-7780

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence S Moy, MD

Title

Ceo

Phone

(310) 546-7780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1225226160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N SEPULVEDA BLVD STE 100",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665962",
            "telephone_number": "310-546-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N SEPULVEDA BLVD STE 100",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665962",
            "telephone_number": "310-546-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE S. MOY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-546-7780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G62367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Procedural Dermatology Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.