Antonio Shallowhorn, is a
Social Worker - Clinical based in Los Angeles, California. Antonio Shallowhorn is licensed to practice in California (license number 105201) and his current practice location is
1720 E 120th St, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(424) 429-2767.
NPI number for Antonio Shallowhorn is 1851940811 and his current mailing address is 1720 E 120th St, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851940811.
Healthcare Provider's Profile
Full Name | Antonio Shallowhorn |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1720 E 120th St, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851940811
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 07/03/2023
Medical Identifiers
Medical identifiers for Antonio Shallowhorn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851940811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 105201 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 105201 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antonio Shallowhorn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Antonio Shallowhorn, 1720 E 120th St, Los Angeles, CA 90059-3052 Ph: () - | Antonio Shallowhorn, 1720 E 120th St, Los Angeles, CA 90059-3052 Ph: (424) 429-2767 |
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