Ms Holly Gruwell Antonyan, NP | |
23550 Hawthorne Blvd Ste 200, Torrance, CA 90505-4722 | |
(310) 361-6577 | |
(310) 373-2633 |
Full Name | Ms Holly Gruwell Antonyan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 23550 Hawthorne Blvd Ste 200, Torrance, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144500398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 21075 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hillside Dermatology | 0446606594 | 2 |
Entity Name | Coast Dermatology Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285926543 PECOS PAC ID: 7517114135 Enrollment ID: O20120904000155 |
Entity Name | Hillside Dermatology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851174924 PECOS PAC ID: 0446606594 Enrollment ID: O20231025001448 |
Mailing Address | Practice Location Address |
---|---|
Ms Holly Gruwell Antonyan, NP 28625 S Western Ave # 55, Rancho Palos Verdes, CA 90275-0810 Ph: () - | Ms Holly Gruwell Antonyan, NP 23550 Hawthorne Blvd Ste 200, Torrance, CA 90505-4722 Ph: (310) 361-6577 |
Dina M Meza, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Head And Neck Box 6, Torrance, CA 90502 Phone: 310-222-2741 Fax: 310-222-5518 | |
Kriska Aimee Tiglao, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1328 Portola Ave, Torrance, CA 90501 Phone: 310-872-6563 | |
Maureen Saligumba, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-1912 | |
Anjana Johanis, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 424-306-8323 | |
Shannan Ann Stephenson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-4160 Fax: 310-320-2271 | |
Tanya Jennette Smit, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4201 Torrance Blvd Ste 720, Torrance, CA 90503 Phone: 310-571-5957 | |
Pavanjit Brar, F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Skypark Dr, Suite 100, Torrance, CA 90505 Phone: 310-784-6300 Fax: 310-891-6758 |