Individual
DR. ELLIOTT TODD ANTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 S MAIN ST STE 525, ORANGE, CA 92868-4553
(714) 456-5631
Mailing address
8530 WILSHIRE BLVD STE 520, BEVERLY HILLS, CA 90211-3116
(310) 854-0770
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A1853368
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
07/07/2023
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