Provider Demographics
NPI:1730109331
Name:RIBAS, ANTONI (MD)
Entity Type:Individual
Prefix:
First Name:ANTONI
Middle Name:
Last Name:RIBAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:SUITE 200Q
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5632
Mailing Address - Country:US
Mailing Address - Phone:310-206-3928
Mailing Address - Fax:310-825-2493
Practice Address - Street 1:200 MEDICAL PLAZA
Practice Address - Street 2:#365,420,530,120
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-206-3928
Practice Address - Fax:310-825-2493
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2010-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA76097207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A760970Medicaid
CAWA76097AMedicare PIN
CAG74640Medicare UPIN