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DR. ADELAIDA B ANTONIO M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1134337975

Individual Registrant:
DR. ADELAIDA B ANTONIO M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
21001 SHERMAN WAY SUITE 15 CANOGA PARK, CA 91303-1760 US
Tel: 818-716-0048  Fax: 818-785-3330

Contact information for business:
21001 SHERMAN WAY SUITE 15 CANOGA PARK, CA 91303-1760 US
Tel: 818-716-0048  Fax: 818-785-3330

Registration Information:
NPI: 1134337975
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAC41801
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
CAC41801

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00C418010CA05




HEALTH CARE JOBS CA - Page 1



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