Individual
JACQUELINE SELIM ANTOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 CASTRO ST STE 232, SAN FRANCISCO, CA 94114-1027
(415) 565-6810
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A187753
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
10/10/2025
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