PRIM HEALTH SERVICES INC
NPI 1174858153
Dermatology - MOHS-Micrographic Surgery in Los Angeles, CA

Q: What is Prim Health Services Inc's NPI number?

The NPI number for Prim Health Services Inc is 1174858153. It was assigned to this organization in the NPPES registry on October 9, 2009.

Q: What is Prim Health Services Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since October 09, 2009

5150 WILSHIRE BLVD, SUITE 603, LOS ANGELES, CA 90036(213) 995-5054(213) 652-1908 Get Directions Write a Review

NPPES record last updated: October 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Prim Health Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIM HEALTH SERVICES INC (NPI 1174858153) is a healthcare organization registered as a mohs-micrographic surgery in Los Angeles, California and active in the NPI registry since October 2009. The organization lists Stephen D Maberry, President, as its authorized official.

NPPES Registry Identity

NPI1174858153

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NamePRIM HEALTH SERVICES INC

Location Address5150 WILSHIRE BLVD, SUITE 603Los Angeles, CA 90036-4303

Mailing Address1317 N San Fernando Blvd, 301Burbank, CA 91504-4236 · (213) 995-5054 · Fax (213) 652-1908

Phone(213) 995-5054

Fax(213) 652-1908

Organization SubpartNo

Authorized OfficialStephen D MaberryPresident · (213) 995-5054

Enumeration DateOctober 9, 2009

✔ NPI 1174858153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in CA · A72562

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

5150 WILSHIRE BLVD, Los Angeles, CA 90036

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prim Health Services Inc's NPI number?

The NPI number for Prim Health Services Inc is 1174858153. It was assigned to this organization in the NPPES registry on October 9, 2009.

Where is Prim Health Services Inc located?

Prim Health Services Inc is located at 5150 Wilshire Blvd Suite 603, Los Angeles, CA 90036. The listed phone number is (213) 995-5054.

What is Prim Health Services Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Prim Health Services Inc was last updated on October 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.