Organization
L R ANTHON DPM A PODIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY R ANTHON D.P.M. (PRESIDENT/OWNER)
(951) 278-5590
Entity
Organization
Contact information
Practice address
1442 E LINCOLN AVE, SUITE280, ORANGE, CA 92865-1934
(951) 278-5590
(951) 272-9924
Mailing address
PO BOX 77790, CORONA, CA 92877-0126
(951) 278-5590
(951) 272-9924
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E2667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2667
CA DOCTOR OF PODIATRY MEDICINE
CA
Enumeration date
10/04/2010
Last updated
03/06/2012
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