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Individual

ANTON G GIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
31001 RANCHO VIEJO RD., SUITE 200, SAN JUAN CAPISTRANO, CA 92675-8703
(949) 661-9611
Mailing address
17360 BROOKHURST ST, ATTN: MCMF - CREDENTIALING DEPT., FOUNTAIN VALLEY, CA 92708-3720

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036057391
IL
207Q00000X
Family Medicine Physician
Primary
20A8376
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005000251
BCBS
IL
05
036057391
IL
01
1689764003
MEDI-CAL
CA
Enumeration date
10/14/2006
Last updated
10/13/2015
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