Individual
DR. GEORGE ANTERASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2336 SANTA MONICA BLVD, SUITE 209, SANTA MONICA, CA 90404-2095
(310) 829-9289
(310) 829-3809
Mailing address
4122 PRADO DE LAS CABRAS, CALABASAS, CA 91302-3627
(818) 667-2720
(310) 829-3809
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G47175
CA
207NS0135X
Procedural Dermatology Physician
Primary
G47175
CA
207YS0123X
Facial Plastic Surgery Physician
G47175
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
G47175
CA
Other
Enumeration date
01/21/2007
Last updated
04/28/2016
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