Search › California › 111N00000X
Brandon Antonissen, DC
NPI 1063991354 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5 Journey Ste 100
Aliso Viejo, CA 92656 - Phone
- (949) 228-1147
- Organisation at this address
- Mtn Pharmacists Inc
Morris Hasson, Md Pc
South Coast Dentistry
Ambika Bhushan Md Inc
Oc Family Medicine PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California