# ALON ANTEBI, DO, INC.

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

## Provider details

- **NPI number:** 1295716165
- **Authorized official:** DR. ALON ANTEBI DO (OWNER)
- **Authorized official phone:** (661) 726-5005

## Contact information

- **Practice address:** 44105 15TH STREET WEST, STE 201, LANCASTER, CA 93534-4090
- **Practice address phone:** (661) 726-5005
- **Practice address fax:** (661) 726-5377
- **Mailing address:** 44105 15TH STREET WEST, STE 201, LANCASTER, CA 93534-4090
- **Mailing address phone:** (661) 726-5005
- **Mailing address fax:** (661) 726-5377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00AX89540 | MEDI-CAL | CA |
| 01 | — | 020A89450 | BS OF CA | CA |
| 01 | — | DD9185 | RR MEDICARE | CA |
| 01 | — | W19060 | MEDICARE PROV \# | CA |