ABDUL ANSARI
Dermatology
Active
Individual
NPI: 1124655170
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dermatology | 207N00000X | Yes | 20A24148 (CA) |
Frequently Asked Questions
NPI 1124655170 is the National Provider Identifier for ABDUL ANSARI, a Dermatology provider located in Corona, CA. This NPI was enumerated on March 26, 2020.
ABDUL ANSARI practices at 21634 RETREAT PKWY, Corona, CA 92883.
Quick Facts
- NPI
- 1124655170
- Type
- Individual
- Enumerated
- Mar 26, 2020
- Last Updated
- Sep 15, 2025
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