Organization
ANTAKI & ASSOCIATES INFECTIOUS DISEASE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN-PEIRRE ANTAKI M.D. (OWNER)
(818) 242-5299
Entity
Organization
Contact information
Practice address
801 S CHEVY CHASE DR, 101, GLENDALE, CA 91205-4431
(818) 242-5299
(818) 637-7607
Mailing address
801 S CHEVY CHASE DR, 101, GLENDALE, CA 91205-4431
(818) 242-5299
(818) 637-7607
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GROO93960
—
CA
Enumeration date
04/20/2006
Last updated
02/05/2018
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