Dr. Albert Antonyan
Dermatologist MOHS-Micrographic Surgeon
1125 E 17th St Ste W248
Santa Ana
, California 92701
Dr. Albert Antonyan
Dermatologist MOHS-Micrographic Surgeon
1125 E 17th St Ste W248
Santa Ana
, California 92701
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Albert Antonyan
- 553 N Pacific Coast Hwy Ste B404
- Redondo Beach, CA
- Zip : 90277-2163
- Phone :
Second Address
- Dr. Albert Antonyan
- 1125 E 17th St Ste W248
- Santa Ana, CA
- Zip : 92701
- Fax : (714) 547-4027
- Phone : (714) 547-5151
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | A156298 | CA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | A156298 | CA |
National Provider Identifier
| NPI | 1457770273 |
|---|---|
| Provider Name | Dr. Albert Antonyan |
| First Address | Redondo Beach, CA 90277-2163 |
| Second Address | Santa Ana, CA 92701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2014 |
| Last Update Date | 30/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.