Individual provider · Type 1 NPI

Abdul Ansari

Dermatology Physician · Corona, CA

NPI number 1124655170 Active

Practice location

21634 Retreat Pkwy
Corona, CA 92883-6100

Call (951) 782-3818 Map

Fax (951) 826-8128

Mailing address

3660 Arlington Ave
Riverside, CA 92506-3987

Other practice locations

  • 7160 Brockton Ave, Riverside, CA 92506-2620 · (951) 782-3837

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dermatology Physician Primary 207N00000X20A24148 (CA)

Dermatology Physician: 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 an…

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About NPI 1124655170

Abdul Ansari's National Provider Identifier is 1124655170, issued on Mar 26, 2020. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Corona, CA. The record was last updated on Sep 15, 2025.