Individual
CHARLES ANTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
284 ALDER CT, AZUSA, CA 91702-6225
(626) 026-0074
Mailing address
284 ALDER CT, AZUSA, CA 91702-6225
(626) 260-0746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62375
CA
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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