Antonio, Adelaida B
Antonio, Adelaida B is an individual health care provider with primary practice located at 21001 Sherman Way Suite 15, Canoga Park CA 91303-1760. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Antonio, Adelaida B can be contacted via phone (818) 716-0048.Contact Information
Primary practice address
21001 Sherman Way Suite 15
Canoga Park CA 91303-1760
Phone: (818) 716-0048
Fax: (818) 785-3330
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C41801 | California |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C41801 | California |
Profile Details
NPI number | 1134337975 |
---|---|
LBN Legal business name | Antonio, Adelaida B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2007 |
Last updated | Dec 11th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134337975 | NPPES |
California | MEDICAID | 00C418010 |
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