Individual
ANTHONY CARANDANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 LONE TREE WAY, ANTIOCH, CA 94509-6200
(925) 756-1192
(925) 756-1869
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(925) 756-1192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301082217
MI
208M00000X
Hospitalist Physician
Primary
A94186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A94186
STATE LICENSE
CA
Enumeration date
07/11/2006
Last updated
02/16/2021
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