Healthcare Provider Details

I. General information

NPI: 1740292036
Provider Name (Legal Business Name): ANTHONY MILANES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4570 CALIFORNIA AVE
BAKERSFIELD CA
93309-1143
US

IV. Provider business mailing address

4570 CALIFORNIA AVE
BAKERSFIELD CA
93309-1143
US

V. Phone/Fax

Practice location:
  • Phone: 213-446-0459
  • Fax:
Mailing address:
  • Phone: 213-446-0459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number9814
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberA52536
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: