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NPI Code Detail

MEDICARE: DR. ALLON AMITAI MD

MEDICARE: DR. ALLON AMITAI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician14751HI

General Provider Information

NPI Number : 1659325256
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLON AMITAI MD
Provider Business Mailing Address
First Line : 134 N WESTGATE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-2997
Country : US
Telephone Number : 310-471-1176
Fax Number :
Provider Business Practice Location Address
First Line : 86-260 FARRINGTON HWY
Second Line :
City : WAIANAE
State : HI
Zip : 96792-3128
Country : US
Telephone Number : 808-696-7081
Fax Number : 808-696-1581
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/21/2010

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