| Antanta Medical Specialists, Inc | |
|
4249 1/2 Crenshaw Blvd Los Angeles CA 90008-2536 | |
| (323) 299-7508 | |
| (323) 299-9476 |
| Full Name | Antanta Medical Specialists, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4249 1/2 Crenshaw Blvd, Los Angeles, California |
| Authorized Official Name and Position | John Cude (PRESIDENT) |
| Authorized Official Contact | 3232997508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antanta Medical Specialists, Inc 311 N Robertson Blvd # 692 Beverly Hills CA 90211-1705 Ph: (323) 299-7508 | Antanta Medical Specialists, Inc 4249 1/2 Crenshaw Blvd Los Angeles CA 90008-2536 Ph: (323) 299-7508 |
| NPI Number | 1659453967 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659453967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A56051 (California) | Primary |
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