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NPI Code Detail

MEDICARE: PAUL ANGELO ANILE D.O.

MEDICARE: PAUL ANGELO ANILE D.O.
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
12083X0100XOccupational Medicine Physician2OA6110CA

General Provider Information

NPI Number : 1780795963
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL ANGELO ANILE D.O.
Provider Business Mailing Address
First Line : 107 BAY SHORE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-3449
Country : US
Telephone Number : 562-230-7285
Fax Number : 562-438-5383
Provider Business Practice Location Address
First Line : 3851 S SOTO ST
Second Line :
City : VERNON
State : CA
Zip : 90058-1718
Country : US
Telephone Number : 323-585-7162
Fax Number : 323-585-0167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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