Individual
ANTONIOUS ANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4234 RIVERWALK PKWY STE 230, RIVERSIDE, CA 92505-3312
(951) 781-3672
Mailing address
1050 LINDEN AVE, LONG BEACH, CA 90813-3321
(562) 491-9140
(562) 491-9146
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A179528
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
08/16/2025
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