Michael Kasperkiewicz
Dermatologist in Los Angeles, CA
Registered providerLicense # listed (CA)Medicare-enrolledAccepts Medicare assignmentTelehealth (Medicare)
Public-record details
- Address
- 10250 Santa Monica Blvd Ste 2440, Los Angeles, CA 90067
- Phone
- (310) 286-0122
- Listed under
- Individual clinicians, Telehealth (Medicare claims)
- NPI
- 1265099097
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- License number on NPI record
- A184360 (CA)
- NPI first issued
- May 28, 2019
- Years since NPI first issued
- 7 years (since 2019)
- License state on NPI record
- CA
- NPI record last updated
- Oct 2, 2024
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Telehealth (CMS)
- Medicare claims show telehealth services
- Professional school graduation (CMS)
- 2004 (22 years ago)
- Medicare group practice (CMS)
- The Regents of the University of California (1,462 clinicians); The Regents of the University of California (33 clinicians)
- Practice locations on file with Medicare (CMS)
- 6
- Other practice locations (NPPES)
- 1: Los Angeles, CA
- Other dermatology listings at this street address
- 2
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