| Doctor Name: | CAROLYN ANTES |
| NPI Number: | 1003168659 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D.C.S. (AE, PE) |
| License Number: | 139536 |
| Business Practice Address: | 21311 S Troyton Ln Carson, CA - 907451601 |
| Business Phone Number: | 3104871646 |
| Business Fax Number: | 3106939726 |
| Mailing Address: | 21311 S Troyton Ln, CARSON |
| State: | CA |
| Postal Code: | 907451601 |
| Phone Number: | 3104871646 |
| Fax Number: | 3106939726 |
| NPI Enumeration Date: | 10/06/2012 |
| NPI Last Update Date: | 10/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XS1301X |
| License Number: | 139536 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |