Organization
AESTHETIC DERMATOLOGY & LASER CENTER MEDICAL GROUP INC
Active
Other names
Edward M. Kramer M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MARK KRAMER M.D. (PRESIDENT)
(714) 229-8246
Entity
Organization
Contact information
Practice address
3055 W ORANGE AVE, #207, ANAHEIM, CA 92804-3159
(714) 229-8246
(714) 229-9362
Mailing address
3055 W ORANGE AVE, #207, ANAHEIM, CA 92804-3159
(714) 229-8246
(714) 229-9362
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G57525
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G57525
CA
207ND0900X
Dermatopathology Physician
G57525
CA
207NS0135X
Procedural Dermatology Physician
G57525
CA
Other
Enumeration date
02/12/2007
Last updated
09/22/2015
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