Provider Demographics
NPI:1841400439
Name:MASSEE, MARY CELESTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:CELESTINE
Last Name:MASSEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 26TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2803
Mailing Address - Country:US
Mailing Address - Phone:661-324-0234
Mailing Address - Fax:661-324-0235
Practice Address - Street 1:1731 26TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2803
Practice Address - Country:US
Practice Address - Phone:661-324-0234
Practice Address - Fax:661-324-0235
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50035207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG50035OtherLICENSE NUMBER, MEDICAL
CAG50035OtherLICENSE NUMBER, MEDICAL