# ANTAKI & ASSOCIATES INFECTIOUS DISEASE MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124083274
- **Authorized official:** DR. JEAN-PEIRRE ANTAKI M.D. (OWNER)
- **Authorized official phone:** (818) 242-5299

## Contact information

- **Practice address:** 801 S CHEVY CHASE DR, 101, GLENDALE, CA 91205-4431
- **Practice address phone:** (818) 242-5299
- **Practice address fax:** (818) 637-7607
- **Mailing address:** 801 S CHEVY CHASE DR, 101, GLENDALE, CA 91205-4431
- **Mailing address phone:** (818) 242-5299
- **Mailing address fax:** (818) 637-7607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | CA | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 02/05/2018