Organization
ALON ANTEBI, DO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALON ANTEBI DO (OWNER)
(661) 726-5005
Entity
Organization
Contact information
Practice address
44105 15TH STREET WEST, STE 201, LANCASTER, CA 93534-4090
(661) 726-5005
(661) 726-5377
Mailing address
44105 15TH STREET WEST, STE 201, LANCASTER, CA 93534-4090
(661) 726-5005
(661) 726-5377
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AX89540
MEDI-CAL
CA
01
—
020A89450
BS OF CA
CA
01
—
DD9185
RR MEDICARE
CA
01
—
W19060
MEDICARE PROV #
CA
Enumeration date
11/08/2005
Last updated
04/20/2008
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