Individual
DR. ADELAIDA B ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21001 SHERMAN WAY, SUITE 15, CANOGA PARK, CA 91303-1760
(818) 716-0048
(818) 785-3330
Mailing address
21001 SHERMAN WAY, SUITE 15, CANOGA PARK, CA 91303-1760
(818) 716-0048
(818) 785-3330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C41801
CA
208D00000X
General Practice Physician
Primary
C41801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C418010
—
CA
Enumeration date
05/17/2007
Last updated
12/11/2011
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