Aesthetic Dermatology Laser Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AESTHETIC DERMATOLOGY LASER CENTER

Practice address

27995 Greenfield Dr
#C
Laguna Niguel, CA 92677-4432

Phone

(949) 360-4400

Fax

(949) 360-4200

NPI assigned

Feb 14, 2007

Organization subpart

No

Name

Dr. Edward Mark Kramer, M.D.NPI 1548302243

Title

President

Phone

(949) 360-4400

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Mark Kramer, M.D.

  • Procedural Dermatology Physician
  • Anaheim, CA
  • NPI 1548302243

  Dermatology

  NPD Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Aesthetic Dermatology Laser Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aesthetic Dermatology & Laser Center Medical Group Inc

  • Dermatology Physician
  • Anaheim, CA
  • NPI 1255473815
  NPD tax ID

• Edward M. Kramer, M.D. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2009.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1477696276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 W ORANGE AVE",
            "address_2": "#207",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043159",
            "telephone_number": "714-229-8246",
            "fax_number": "714-229-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27995 GREENFIELD DR",
            "address_2": "#C",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774432",
            "telephone_number": "949-360-4400",
            "fax_number": "949-360-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DERMATOLOGY LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-360-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward M. Kramer, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie Lee Addicks, M.A.CCC,SLP
• Linda Adintori, O.T.R./L
• Advance Oc Anesthesia Inc.
• Advanced Hand Therapy and Rehabilitation Oc, Inc.
• Bailey Ann Advincula
• Arianna Aghadjanians
• Nastaran Aghazadeh, PHARMD
• Victoria Aguilar
• Ahura Medical Group
• Ak Physical Therapy, P.C.

• All providers in Laguna Niguel, CA
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.