MISHA MAX HELLER, M.D., A PROFESSIONAL MEDICAL CORPORATION (NPI# 1801335815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801335815 |
| Entity Type | Organization |
| Organization Name | MISHA MAX HELLER, M.D., A PROFESSIONAL MEDICAL CORPORATION |
| Other Organization Name | MISHA M. HELLER, MD |
| Practice Address |
1760 Termino Ave Ste 114 Long Beach CA 90804-2169 |
| Practice Telephone | 5624982459 |
| Practice Fax Number | 5624948285 |
| Mailing Telephone | 5624982459 |
| Mailing Fax Number | 5624948285 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-08-08 |
| Authorized Official Name | DR. MISHA MAX HELLER (PRESIDENT) |
| Authorized Official Telephone | 5624982459 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heller Dermatology & Aesthetic Surgery | Doing Business As Name - Organization |
| Misha M. Heller, MD | Doing Business As Name - Organization |
| Street Address |
1760 TERMINO AVE STE 114 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124598 | Alan W. Heller, M.d., A Professional Medical Corporation | Dermatology | 1760 Termino Ave Ste 114, Long Beach, CA 90804-2169 | 2017-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164688230 | Nancy J Samolitis | Dermatology | 3736 Atlantic Ave, Suite 101, Long Beach, CA 90807-3492 | 2008-07-29 |
| 1356567937 | Touradj Farhadi | Dermatology | 2630 Pacific Ave, Long Beach, CA 90806-2611 | 2007-04-18 |
| 1053463760 | Robert Mitchell Miller | Dermatology | 3325 Palo Verde Ave #107, Long Beach, CA 90808-4132 | 2007-01-16 |
| 1710068556 | Richard Gardner Williams | Dermatology | 5901 E Seventh St, Radiation Oncology 114a, Long Beach, CA 90822-5201 | 2006-10-18 |
| 1629169396 | Keith William Mcgill | Dermatology | 150 S Pico Ave, 14342 Bora Dr La Mirada 90638, Long Beach, CA 90802 | 2006-09-27 |
| 1023118205 | Alan Wm Heller | Dermatology | 1760 Termino Ave #114, Long Beach, CA 90804 | 2006-09-25 |
| 1225068984 | Douglas Kent Ulmer | Dermatology | 1045 Atlantic Ave Ste 819, Long Beach, CA 90813-3410 | 2006-07-05 |
| 1689621807 | Robert M Miller Md Inc | Dermatology | 3325 Palo Verde Ave, 107, Long Beach, CA 90808 | 2006-05-31 |
| 1619946779 | Anh-dao Vu Le | Dermatology | 1024 E Pacific Coast Hwy, Long Beach, CA 90806-5017 | 2006-03-14 |
| 1134785785 | James Wu Md Inc | Dermatology | 1045 Atlantic Ave Ste 819, Long Beach, CA 90813-3410 | 2019-05-18 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on MISHA MAX HELLER, M.D., A PROFESSIONAL MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.