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NPI 1124655170

IndividualActive

Abdul Ansari

NPI 1124655170 · Dermatology Physician · Corona, CA

Provider details

NPI number: 1124655170
Entity type: Individual
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Sex: Male
Sole proprietor: No

Practice location

21634 Retreat Pkwy

Corona, CA 92883-6100

Phone: (951) 782-3818

Fax: (951) 826-8128

More CA providers

Mailing address

3660 Arlington Ave

Riverside, CA 92506-3987

Registry dates

Enumerated: 2020-03-26
Last updated: 2025-09-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Abdul Ansari — NPI 1124655170, Corona, CA | NPI Central