San Bartolome, Antoinette Carmen

San Bartolome, Antoinette Carmen is an individual health care provider with primary practice located at 901 Oak Park Boulevard Suite 101, Pismo Beach CA 93449-3409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. San Bartolome, Antoinette Carmen can be contacted via phone (805) 489-2205.

Contact Information

Primary practice address
901 Oak Park Boulevard Suite 101 Pismo Beach CA 93449-3409
Phone: (805) 489-2205
Fax: (805) 489-2206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A87054 California

Profile Details

NPI number 1912128802
LBN Legal business name San Bartolome, Antoinette Carmen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Mar 7th, 2023 - about 3 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 1912128802 NPPES
California Other A87054 MEDICAL LICENSE

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