Provider Demographics
NPI:1225146103
Name:SCREMIN, ANTONIA MARIA ERIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIA
Middle Name:MARIA ERIKA
Last Name:SCREMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11301 WILSHIRE BLVD
Mailing Address - Street 2:117
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-1003
Mailing Address - Country:US
Mailing Address - Phone:310-268-3982
Mailing Address - Fax:310-268-4935
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:117
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90074-1003
Practice Address - Country:US
Practice Address - Phone:310-268-3982
Practice Address - Fax:310-268-4935
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA34989208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation