DR. ROBERT RAY NETTLES (NPI# 1811261183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811261183 |
| Entity Type | Individual |
| Full Name | DR. ROBERT RAY NETTLES |
| Credential | MD |
| Practice Address |
8500 Wilshire Blvd Ste 630 Beverly Hills CA 90211-3139 |
| Practice Telephone | 3106014778 |
| Mailing Telephone | 3106014778 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A79597 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
8500 WILSHIRE BLVD STE 630 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518524875 | Beverly Hills Surgery Center | Clinic/Center | 8500 Wilshire Blvd Ste 630, Beverly Hills, CA 90211-3139 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326427204 | Jennifer Herrmann Md Inc | Dermatology | 421 N Rodeo Dr Ste 7, Beverly Hills, CA 90210-4514 | 2015-05-25 |
| 1699908806 | Sharon Mcbeth | Dermatology | 8920 Wilshire Blvd Ste 603, Beverly Hills, CA 90211-1970 | 2009-09-03 |
| 1558478800 | Joan Osder | Dermatology | 465 N Roxbury Dr Ste 803, Beverly Hills, CA 90210-4211 | 2006-08-24 |
| 1750731477 | Robin Schaffran Md Inc | Dermatology | 8920 Wilshire Blvd, Suite 545, Beverly Hills, CA 90211-2009 | 2016-06-14 |
| 1427417716 | The Roxbury Institute | Dermatology | 450 N Roxbury Drive, #400, Beverly Hills, CA 90210 | 2016-02-16 |
| 1205276862 | Suzanne L. Berkman, M.d., Inc. | Dermatology | 8920 Wilshire Blvd, Suite 545, Beverly Hills, CA 90211-2007 | 2013-06-27 |
| 1235388828 | Suzanne Lauren Berkman | Dermatology | 8920 Wilshire Blvd, Suite 545, Beverly Hills, CA 90211-2007 | 2008-09-18 |
| 1104047596 | Wallace Medical Group, Inc | Dermatology | 8920 Wilshire Blvd, Suite 327, Beverly Hills, CA 90211-2007 | 2007-05-01 |
| 1376662635 | Harold A. Lancer,m.d.,f.a.a.d | Dermatology | 9735 Wilshire Blvd, Penthouse, Beverly Hills, CA 90212-2107 | 2007-03-28 |
| 1407973738 | Saperstein. M.d., Inc | Dermatology | 8920 Wilshire Blvd, Suite 545, Beverly Hills, CA 90211-2007 | 2007-03-23 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
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| 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.