Misha Max Heller, M.D., a Professional Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MISHA MAX HELLER, M.D., A PROFESSIONAL MEDICAL CORPORATION

Doing business as

Heller Dermatology & Aesthetic Surgery
Misha M. Heller, MD

Practice address

1760 Termino Ave Ste 114
Long Beach, CA 90804-2169

Phone

(562) 498-2459

Fax

(562) 494-8285

NPI assigned

Feb 23, 2017

Last updated

Aug 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Misha Max Heller, MDNPI 1568717221

Title

President

Phone

(562) 498-2459

Specialties & licenses 1

Addresses

Other names 2

• Heller Dermatology & Aesthetic Surgery Doing business as
• Misha M. Heller, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Misha Max Heller, M.D.

  • Dermatology Physician
  • Long Beach, CA
  • NPI 1568717221
  Medicare reassignment NPD Authorized official
• Justin B. Heller, MD

  • Plastic Surgery Physician
  • Lancaster, CA
  • NPI 1639373590
  Medicare reassignment NPD

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1801335815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 114",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042169",
            "telephone_number": "562-498-2459",
            "fax_number": "562-494-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 114",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042169",
            "telephone_number": "562-498-2459",
            "fax_number": "562-494-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHA MAX HELLER, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "MISHA",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-498-2459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heller Dermatology & Aesthetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Misha M. Heller, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mubeena Mirza
• Maryam Mirzaei, OD
• Hayk Mirzoyan, DO
• Christina Mishreki, DC, CCSP
• Crystal Robin Miskin, DPT
• Mission Pharmacy
• Donna L Misterly, RN
• Monique Anastasia Mitchell-Hickmon, AMFT

• Dermatology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.