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Organization

ANTLE & MORADI MD APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REGG VINCE ANTLE MD (PRESIDENT)
(760) 726-6451
Entity
Organization

Contact information

Practice address
2023 W VISTA WAY STE F, VISTA, CA 92083-6030
(760) 726-6451
(760) 726-4822
Mailing address
2023 W VISTA WAY STE F, VISTA, CA 92083-6030
(760) 726-6451
(760) 726-4822

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C30572
CA

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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