MEDICARE: DR. STANTON S KREMSKY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	G47581	CA
2	2085R0202X	Diagnostic Radiology Physician	ME174210	FL
3	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BG279A	OTHER	CA	PTAN

General Provider Information

NPI Number	:	1528281607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANTON S KREMSKY M.D.

Provider Business Mailing Address
First Line	:	10102 BEVERLY DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-5415
Country	:	US
Telephone Number	:	714-316-8847
Fax Number	:

Provider Business Practice Location Address
First Line	:	10102 BEVERLY DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-5415
Country	:	US
Telephone Number	:	714-316-8847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	03/16/2026

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