Individual
ANCIL K. PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2251 W ROSECRANS AVE STE 21, COMPTON, CA 90222-3860
(424) 529-6755
Mailing address
PO BOX 845833, LOS ANGELES, CA 90084-5833
(310) 792-3914
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
54417-20
WI
208600000X
Surgery Physician
Primary
A147208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295943884
BCBSWI
WI
05
—
1295943884
—
WI
01
—
PHILIANC
MERCYCARE INSURANCE
WI
Enumeration date
05/18/2007
Last updated
03/01/2022
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