Individual
DR. EMMANUEL J FANTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21900 BURBANK BLVD STE 300, WOODLAND HILLS, CA 91367-7418
(818) 992-3121
(888) 959-5641
Mailing address
2778 E ECLIPSE AVE, FRESNO, CA 93720-5475
(559) 696-6968
(559) 354-0167
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
49146
CA
2084P0800X
Psychiatry Physician
Primary
A61907
CA
Other
Enumeration date
02/06/2007
Last updated
10/13/2023
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