Carolyn Antes, R.D.C.S. (AE, PE)
Individual provider Active NPI Sonography Specialist/Technologist Cardiovascular · Carson, CA
NPI 1003168659 · NPPES record last updated Oct 6, 2012
Key facts
- NPI
- 1003168659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sonography Specialist/Technologist Cardiovascular 246XS1301X
- License
- 139536 (CA)
- Practice address
- 21311 S Troyton LN
Carson, CA 90745-1601 - Phone
- (310) 487-1646
- Fax
- (310) 693-9726
- NPI assigned
- Oct 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139536 | CA | MD | Sonography Specialist/Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | 139536 | CA | Yes |
Addresses
Primary practice location
21311 S Troyton LN
Carson, CA 90745-1601
Mailing address
21311 S Troyton LN
Carson, CA 90745-1601
Phone (310) 487-1646
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All providers in Carson, CA · Sonography Specialist/Technologist Cardiovascular in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.