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INGRID WOELFL ANTALL MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1629061700

Individual Registrant:
 INGRID WOELFL ANTALL MD
Gender: F
Sole Proprietor

Location and contact information for practice:
2755 ALAMO ST STE 100 SIMI VALLEY, CA 93065-1311 US
Tel: 805-210-7280  Fax: 805-210-7281

Contact information for business:
2755 ALAMO ST STE 100 SIMI VALLEY, CA 93065-1311 US
Tel: 805-210-7280  Fax: 805-210-7281

Registration Information:
NPI: 1629061700
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA65624

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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