Individual
MR. FERNANDO ANTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W CARSON ST, BOX #12, DEPARTMENT OF PATHOLOGY, TORRANCE, CA 90502-2004
(310) 222-2643
(310) 222-8002
Mailing address
1000 W CARSON ST, BOX #12, DEPARTMENT OF PATHOLOGY, TORRANCE, CA 90502-2004
(310) 222-2643
(310) 222-8002
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A108309
CA
208600000X
Surgery Physician
Primary
A108309
CA
Other
Enumeration date
08/16/2007
Last updated
08/19/2024
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