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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1134337975 NPPES
California MEDICAID 00C418010

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