Healthcare Provider Details

I. General information

NPI: 1295716165
Provider Name (Legal Business Name): ALON ANTEBI, DO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44105 15TH STREET WEST STE 201
LANCASTER CA
93534-4090
US

IV. Provider business mailing address

44105 15TH STREET WEST STE 201
LANCASTER CA
93534-4090
US

V. Phone/Fax

Practice location:
  • Phone: 661-726-5005
  • Fax: 661-726-5377
Mailing address:
  • Phone: 661-726-5005
  • Fax: 661-726-5377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALON ANTEBI
Title or Position: OWNER
Credential: DO
Phone: 661-726-5005