Individual
ANTOINE G DIPSIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4215 NORWOOD AVE #01, W. SACRAMENTO, CA 95838-3300
(916) 564-0521
(916) 564-1528
Mailing address
200 OCEANGATE #100, LONG BEACH, CA 90804-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A40970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A409700
MEDI-CAL
CA
05
—
00A409700
—
CA
Enumeration date
10/27/2006
Last updated
02/08/2010
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