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Individual

ANTONIO ARGUETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1915 D ST, ANTIOCH, CA 94509-2571
(925) 754-3673
(925) 754-3673
Mailing address
1915 D ST, ANTIOCH, CA 94509-2571
(925) 754-3673
(925) 754-3673

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070753
MASTER PROVIDER NUMBER
CA
01
0753
DRUG MEDI-CAL BILLING NUM
CA
01
07533
ADOL TX BILLING
CA
01
07536
DMC ADOL ANTIOCH
CA
01
56576
STAFF ID NUMBER
CA
Enumeration date
05/03/2007
Last updated
02/05/2008
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