Erin Antes
Individual provider Active NPI Rehabilitation Practitioner · Los Angeles, CA
NPI 1780916221 · NPPES record last updated Feb 11, 2010
Key facts
- NPI
- 1780916221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 526 S San Pedro St
Los Angeles, CA 90013-2102 - Phone
- (213) 488-9559
- NPI assigned
- Feb 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamp Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
526 S San Pedro St
Los Angeles, CA 90013-2102
Mailing address
2041 Carfax Ave
Long Beach, CA 90815-3325
Phone (213) 488-9559
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All providers in Los Angeles, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2010. 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.