Aesthetic Dermatology & Laser Center Medical Group Inc
NPI 1255473815ActiveOrganization· Dermatology· Anaheim, CA
Dermatology in Anaheim, California, registered in NPPES in February 2007. The authorized official on file is Edward Mark Kramer, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255473815 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2007 |
| Last updated in NPPES | Sep 22, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | G57525 | CA |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | G57525 | CA |
| Dermatology, Dermatopathology | 207ND0900X | G57525 | CA |
| Dermatology, Procedural Dermatology | 207NS0135X | G57525 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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