Durazo, Antonio

Durazo, Antonio is an individual health care provider with primary practice located at 841 W Morton Ave , Porterville CA 93257-3184. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Durazo, Antonio can be contacted via phone (559) 781-8080.

Contact Information

Primary practice address
841 W Morton Ave Porterville CA 93257-3184
Phone: (559) 781-8080
Fax: (559) 781-8960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G48642 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G48642 California

Profile Details

NPI number 1427026145
LBN Legal business name Durazo, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427026145 NPPES
California MEDICAID 00G486421

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