Organization
DEANRO A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTON BILCHIK M.D., PH.D., M.B.A. (OWNER)
(310) 449-5206
Entity
Organization
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 449-5206
(310) 449-5242
Mailing address
2200 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2312
(310) 449-5206
(310) 449-5242
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
A49766
CA
Other
Enumeration date
12/28/2007
Last updated
01/26/2018
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