Albert S Antonyan (NPI# 1457770273, PAC ID# 2466765581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1457770273 |
| PAC ID by PECOS | 2466765581 |
| Professional Enrollment ID | I20180905001702 |
| Full Name | Albert S Antonyan |
| Organization Legal Name | SOUTHERN CALIFORNIA DERMATOLOGY, INC |
| Address |
1125 E 17th St Suite W248 Santa Ana CA 92701-2205 |
| Phone Number | 7145475151146 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3678645918 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1125 E 17th St, Suite W248, Santa Ana, CA 92701-2205 | 7145475151146 | SOUTHERN CALIFORNIA DERMATOLOGY, INC |
| Organization Legal Name | SOUTHERN CALIFORNIA DERMATOLOGY, INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Soung | Dermatology | Southern California Dermatology, Inc | 1125 E 17th St, Suite W248, Santa Ana, CA 92701-2205 |
| Trevor T Muirhead | Dermatology | Southern California Dermatology, Inc | 1125 E 17th St, Suite W248, Santa Ana, CA 92701-2205 |
| Gregory A Bartlow | Dermatology | Southern California Dermatology, Inc | 1125 E 17th St, Suite W248, Santa Ana, CA 92701-2205 |
| Street Address |
1125 E 17TH ST SUITE W248 |
| City | SANTA ANA |
| State | CA |
| Zip | 92701-2205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mimi Saadat | Physical Therapy | 1125 E 17th St, Suite E213, Santa Ana, CA 92701-2219 | |
| Joseph S Klemek | Orthopedic Surgery | Orthopaedic Surgery Medical Group | 1125 E 17th St, E218, Santa Ana, CA 92701-2218 |
| Jennifer Soung | Dermatology | Southern California Dermatology, Inc | 1125 E 17th St, Suite W248, Santa Ana, CA 92701-2205 |
| Jose L Valdez | Family Medicine | 1125 E 17th St, Suite E224, Santa Ana, CA 92701-2221 | |
| Trevor T Muirhead | Dermatology | Southern California Dermatology, Inc | 1125 E 17th St, Suite W248, Santa Ana, CA 92701-2205 |
| Ghadir M Kinawy | General Practice | 1125 E 17th St, Suite W 122, Santa Ana, CA 92701-2231 | |
| Ali Reza Hamzeh | Obstetrics/gynecology | 1125 E 17th St, Suite N152, Santa Ana, CA 92701-2215 | |
| Enrico U Balcos | Psychiatry | 1125 E 17th St, Suite N153, Santa Ana, CA 92701-2215 | |
| Raouf A Kayaleh | Internal Medicine | 1125 E 17th St, E109, Santa Ana, CA 92701-2214 | |
| Michael Einbund | Orthopedic Surgery | Orthopaedic Surgery Medical Group | 1125 E 17th St, E218, Santa Ana, CA 92701-2218 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Domenic Signorelli | Podiatry | 1125 E 17th St, Suite E101, Santa Ana, CA 92701-2201 | |
| Gregory A Bartlow | Dermatology | Southern California Dermatology, Inc | 1125 E 17th St, Suite W248, Santa Ana, CA 92701-2205 |
| Don L Smith | General Practice | 1125 E 17th St, Suite N453, Santa Ana, CA 92701-2215 | |
| Eduardo R Disarli | Family Medicine | 1514 N Sycamore St, Santa Ana, CA 92701-2332 | |
| George M Salib | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 1520 N Grand Ave, Santa Ana, CA 92701-2627 |
| Lucy Saenz | Family Medicine | 1215 E 17th St, Santa Ana, CA 92701-2640 | |
| Dimitri Sirakoff | Family Medicine | Serve The People, Inc. | 1206 E 17th St, Suite 101, Santa Ana, CA 92701-2641 |
| Minal W Borsada | Internal Medicine | Serve The People, Inc. | 1206 E 17th St, Suite 101, Santa Ana, CA 92701-2641 |
| Marco A Angulo | Family Practice | 1206 E 17th St, Suite 101, Santa Ana, CA 92701-2641 | |
| Teresa Flores | Family Medicine | 1014 N Broadway, Santa Ana, CA 92701-3408 | |
| Find all physicians in zip 92701 | |||
| City | SANTA ANA |
| Zip Code | 92701 |
| Specialty | DERMATOLOGY |
| City + Specialty | SANTA ANA + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.