| Dr Daniel Carl Dwyer, MD | |
|
275 Victoria St, Suite 2-h, Costa Mesa, CA 92627-1906 | |
| (949) 631-1051 | |
| (949) 631-1052 |
| Full Name | Dr Daniel Carl Dwyer |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 275 Victoria St, Costa Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992889232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | G38229 (California) | Primary |
| Entity Name | William J Wickwire M D Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326119165 PECOS PAC ID: 7315974375 Enrollment ID: O20050720001209 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Carl Dwyer, MD 275 Victoria Street, Suite 2-h, Costa Mesa, CA 92627-1906 Ph: (949) 631-1051 | Dr Daniel Carl Dwyer, MD 275 Victoria St, Suite 2-h, Costa Mesa, CA 92627-1906 Ph: (949) 631-1051 |
Ms. Rita K Nijjar, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St, Suite 1h, Costa Mesa, CA 92627 Phone: 949-646-2311 Fax: 949-646-1064 | |
Dr. Margaret M Shannon, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 275 Victoria St, Suite 1h, Costa Mesa, CA 92627 Phone: 949-646-2311 Fax: 949-646-1064 | |
Dr. Raymond Edward Kleinfelder Iii, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3080 Bristol St Ste 650, Costa Mesa, CA 92626 Phone: 949-317-2558 Fax: 213-408-4414 |