Provider Demographics
NPI:1740380880
Name:ERNEST, ANTONY CYRIL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONY
Middle Name:CYRIL
Last Name:ERNEST
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:PO BOX 6110
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93539-6110
Mailing Address - Country:US
Mailing Address - Phone:661-948-2621
Mailing Address - Fax:661-948-1632
Practice Address - Street 1:43807 10TH ST W
Practice Address - Street 2:SUITE A
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4805
Practice Address - Country:US
Practice Address - Phone:661-948-2621
Practice Address - Fax:661-948-1632
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31133207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA060040670OtherRAILROAD MEDICARE
CA00A311330Medicaid
CAWA331133CMedicare PIN
CAA87511Medicare UPIN