Individual
DR. ANTONIO KAYABAN ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3505 HART AVE, SUITE 202, ROSEMEAD, CA 91770-2061
(626) 573-1160
(626) 573-1162
Mailing address
3505 HART AVE, SUITE 202, ROSEMEAD, CA 91770-2061
(626) 573-1160
(626) 573-1162
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A36630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A366300
—
CA
01
—
A36630
PRIVATE INSURANCE
CA
Enumeration date
06/18/2005
Last updated
03/19/2020
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