# ANTOINE ROBERTS M.D. , INC

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

## Provider details

- **NPI number:** 1407095649
- **Authorized official:** ANNE M EGUCHI (MEDICAL BILLING)
- **Authorized official phone:** (310) 577-8500

## Contact information

- **Practice address:** 4644 LINCOLN BLVD, MARINA DEL REY, CA 90292-6313
- **Practice address phone:** (310) 577-8500
- **Practice address fax:** (310) 577-8507
- **Mailing address:** 4644 LINCOLN BLVD, MARINA DEL REY, CA 90292-6313
- **Mailing address phone:** (310) 577-8500
- **Mailing address fax:** (310) 577-8507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G39726 | CA | Yes |

## Other

- **Enumeration date:** 02/11/2009
- **Last updated:** 02/11/2009