Antonio, Ethel
Antonio, Ethel is an sole proprietor health care provider with primary practice located at 31194 La Baya Dr , Westlake Village CA 91362-4022. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Antonio, Ethel can be contacted via phone (805) 341-3416.Contact Information
Primary practice address
31194 La Baya Dr
Westlake Village CA 91362-4022
Phone: (805) 341-3416
Fax: (818) 369-0197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95007507 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95007507 | California |
Profile Details
| NPI number | 1386778967 |
|---|---|
| LBN Legal business name | Antonio, Ethel |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Aug 5th, 2026 - about 2 months 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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