Diana Boulos Kneiber, MD | |
27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355-5908 | |
(661) 253-5851 | |
Not Available |
Full Name | Diana Boulos Kneiber |
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Gender | Female |
Speciality | Dermatology |
Location | 27235 Tourney Rd Ste 2500, Santa Clarita, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063973543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A182437 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | The Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
Mailing Address | Practice Location Address |
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Diana Boulos Kneiber, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707 | Diana Boulos Kneiber, MD 27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355-5908 Ph: (661) 253-5851 |
Dr. Catherine Cotterman Close, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 27107 Tourney Rd, Department Of Dermatology, Santa Clarita, CA 91355 Phone: 888-788-5000 | |
Yang Yu, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355 Phone: 661-253-5851 Fax: 661-253-5852 | |
Aram Hagop Kechichian, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 27141 Hidaway Ave, Suite 104, Santa Clarita, CA 91351 Phone: 661-299-6900 Fax: 661-299-1300 |