Jeffrey Hick, MD
Dermatologist (Mohs/procedural) in Manhattan Beach, CA
Registered providerLicense # listed (CA)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 828 Manhattan Beach Blvd, Manhattan Beach, CA 90266
- Phone
- (310) 545-2900
- Listed under
- Individual clinicians, Mohs and procedural dermatology
- NPI
- 1972757359
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology, Procedural Dermatology (207NS0135X)
- Credentials listed
- MD
- License number on NPI record
- A110433 (CA)
- NPI first issued
- Nov 11, 2008
- Years since NPI first issued
- 18 years (since 2008)
- License state on NPI record
- CA
- NPI record last updated
- Jul 10, 2012
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 2008 (18 years ago)
- Medicare group practice (CMS)
- Malcolm Ke MD a Professional Corporation (5 clinicians); Aesthetic Dermatology and Laser Center Medical Group INC (3 clinicians)
- Practice locations on file with Medicare (CMS)
- 3
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