Hovik Ashchyan, MD | |
355 Lennon Ln Ste 255, Walnut Creek, CA 94598-2496 | |
(925) 357-9785 | |
Not Available |
Full Name | Hovik Ashchyan |
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Gender | Male |
Speciality | Dermatology |
Location | 355 Lennon Ln Ste 255, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710477088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | A166348 (California) | Secondary |
207N00000X | Dermatology | A166348 (California) | Primary |
Entity Name | Golden State Dermatology Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605 |
Mailing Address | Practice Location Address |
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Hovik Ashchyan, MD 355 Lennon Ln Ste 255, Walnut Creek, CA 94598-2496 Ph: (925) 357-9785 | Hovik Ashchyan, MD 355 Lennon Ln Ste 255, Walnut Creek, CA 94598-2496 Ph: (925) 357-9785 |
Grace Kim Sohn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 355 Lennon Ln Ste 255, Walnut Creek, CA 94598 Phone: 925-932-7704 | |
Ji Won Ahn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 320 Lennon Ln Dept Of, Walnut Creek, CA 94598 Phone: 925-817-5678 | |
E. Robin Slovak, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 320 Lennon Ln, Walnut Creek, CA 94598 Phone: 925-906-2000 | |
Dr. Min-wei Christine Lee, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 370 N Wiget Ln, Ste 125, Walnut Creek, CA 94598 Phone: 925-932-9389 Fax: 925-393-5996 | |
Dr. Megan Macklin Moore, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 320 Lennon Ln, Walnut Creek, CA 94598 Phone: 925-906-2000 | |
Mrs. Christina Daria Fonseca, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 320 Lennon Lane Kaiser Permanente Medical Group, Department Of Dermatology, Walnut Creek, CA 94598 Phone: 925-617-5600 Fax: 916-442-5702 | |
Manisha Manmohan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 320 Lennon Ln, Walnut Creek, CA 94598 Phone: 925-817-5656 |