Provider Demographics
NPI:1588829816
Name:CATIPAY, ANTHONY CAVALIDA (MD)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:CAVALIDA
Last Name:CATIPAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7531 SANTA MONICA BLVD STE 101A
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-6481
Mailing Address - Country:US
Mailing Address - Phone:323-988-5900
Mailing Address - Fax:323-400-4238
Practice Address - Street 1:7531 SANTA MONICA BLVD STE 101A
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-6481
Practice Address - Country:US
Practice Address - Phone:323-988-5900
Practice Address - Fax:323-400-4238
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC53072207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine