Individual
DR. LEFKOS B AFTONOMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 N SAN MATEO DR, SUITE 2, SAN MATEO, CA 94401-2824
(650) 513-6651
(650) 350-4395
Mailing address
730 POLHEMUS RD, SUITE 203, SAN MATEO, CA 94402-3976
(650) 356-0076
(650) 349-2762
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G37819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G378190
—
CA
Enumeration date
06/09/2006
Last updated
12/23/2014
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