Organization
ANTANTA MEDICAL SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CUDE DPM (PRESIDENT)
(323) 299-7508
Entity
Organization
Contact information
Practice address
4249 1/2 CRENSHAW BLVD, LOS ANGELES, CA 90008-2536
(323) 299-7508
(323) 299-9476
Mailing address
311 N ROBERTSON BLVD # 692, BEVERLY HILLS, CA 90211-1705
(323) 299-7508
(323) 299-9376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A56051
CA
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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