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ANTOINE G DIPSIA M.D.

Adult Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1013093558

Individual Registrant:
 ANTOINE G DIPSIA M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
4215 NORWOOD AVE #01  W. SACRAMENTO, CA 95838-3300 US
Tel: 916-564-0521  Fax: 916-564-1528

Contact information for business:
200 OCEANGATE #100  LONG BEACH, CA 90804-4317 US
Tel: 562-499-6191  Fax: 562-499-6171

Registration Information:
NPI: 1013093558
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QA0505XAllopathic & Osteopathic Physicians
Family Medicine
Adult Medicine
CAA40970

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDI-CAL00A409700CA01
00A409700CA05




HEALTH CARE JOBS CA - Page 1



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