AESTHETIC DERMATOLOGY & LASER CENTER MEDICAL GROUP INC (NPI# 1255473815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255473815 |
| Entity Type | Organization |
| Organization Name | AESTHETIC DERMATOLOGY & LASER CENTER MEDICAL GROUP INC |
| Other Organization Name | EDWARD M. KRAMER M.D. |
| Practice Address |
3055 W Orange Ave #207 Anaheim CA 92804-3159 |
| Practice Telephone | 7142298246 |
| Practice Fax Number | 7142299362 |
| Mailing Telephone | 7142298246 |
| Mailing Fax Number | 7142299362 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | DR. EDWARD MARK KRAMER (PRESIDENT) |
| Authorized Official Telephone | 7142298246 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
G57525 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
G57525 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G57525 | CA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | G57525 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Edward M. Kramer M.D. | Doing Business As Name - Organization |
| Street Address |
3055 W ORANGE AVE #207 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306835947 | Ivon Campo | Specialist | 3055 W Orange Ave, Suite 202, Anaheim, CA 92804-3159 | 2005-10-17 |
| 1720330301 | John Harold Ernsberger | Internal Medicine | 3055 W Orange Ave, Anaheim, CA 92804-3159 | 2012-10-08 |
| 1891970729 | Advanced Healthcare Physicians, Inc | Internal Medicine | 3055 W Orange Ave, St. 201, Anaheim, CA 92804-3159 | 2008-01-09 |
| 1376726349 | Interstate Rehab | Physical Therapist | 3055 W Orange Ave, Suite 202, Anaheim, CA 92804-3159 | 2007-12-12 |
| 1427231505 | Strategic Healthcare Management | Internal Medicine | 3055 W Orange Ave, Suite 201, Anaheim, CA 92804-3159 | 2007-12-11 |
| 1548302243 | Edward Mark Kramer | Dermatology | 3055 W Orange Ave, #207, Anaheim, CA 92804-3159 | 2007-02-12 |
| 1801958954 | Zohreh Javanshir | Counselor | 3055 W Orange Ave, Suite 206, Anaheim, CA 92804-3159 | 2006-12-15 |
| 1912000365 | Steele Clarke Smith | Family Medicine | 3055 W Orange Ave, Suite 205, Anaheim, CA 92804-3154 | 2006-09-07 |
| 1659487742 | James S. Pai | Pharmacy | 3055 W Orange Ave, Suite # 108, Anaheim, CA 92804-3159 | 2006-08-22 |
| 1649298084 | Sung-un Justin Park | Psychiatry & Neurology | 3055 W Orange Ave, Suite 101, Anaheim, CA 92804 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791946 | Renu Dermatology and Wellness | Dermatology | 1741 W Romneya Dr Ste E, Anaheim, CA 92801-1805 | 2017-10-16 |
| 1063823391 | Silvia Song | Dermatology | 5475 E La Palma Ave, Anaheim, CA 92807-2075 | 2014-05-08 |
| 1407275217 | Sabrina Uddin | Dermatology | 1165 N Euclid St, Anaheim, CA 92801-1938 | 2014-04-09 |
| 1528327327 | Jaryd Freedman | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2012-05-14 |
| 1548490568 | Sherry Youssef | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2009-07-24 |
| 1831327121 | Van Tl Hoang | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2009-06-25 |
| 1811175599 | Mary Kate Rohan M.d., Inc | Dermatology | 1211 W La Palma Ave Ste 407, Anaheim, CA 92801-2806 | 2008-02-05 |
| 1164620795 | David B. Friedman, Md, Inc | Dermatology | 1165 N Euclid St, Anaheim, CA 92801-1938 | 2007-07-05 |
| 1548302243 | Edward Mark Kramer | Dermatology | 3055 W Orange Ave, #207, Anaheim, CA 92804-3159 | 2007-02-12 |
| 1679621635 | Patwin E. Peckham | Dermatology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| Find all providers in ANAHEIM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.