Microsurgery Goup

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

C3373665 Issued in CA

Legal business name

MICROSURGERY GOUP

Practice address

21039 S Figueroa Ave Suite 201
Carson, CA 90745-7042

Phone

(562) 201-3874

Fax

(866) 441-8248

NPI assigned

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Michael Edwards, M.D.

Title

Owner

Phone

(562) 201-3874

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1235540196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21039 S FIGUEROA AVE SUITE 201",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907450000",
            "telephone_number": "562-201-3874",
            "fax_number": "866-441-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21039 S FIGUEROA AVE SUITE 201",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457042",
            "telephone_number": "562-201-3874",
            "fax_number": "866-441-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROSURGERY GOUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-201-3874",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "C3373665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynric Parages Mercado, PT
• Jacqueline Merton, OTR/L
• Metro Medical Transportation Service,Inc
• Verenice O Meza, SLP
• Kayla Michaud, RD
• Mid-City Behavioral Health Nursing Inc.
• Benjamin G Miller
• Gabriella Miller
• Julian Patrick Miller, DDS
• Tanya Miller, COTA/L

• Procedural Dermatology Physician in Carson, CA
• Providers in Carson, 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 May 14, 2014; 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.