Provider Demographics
NPI:1154561710
Name:PESSEGUEIRO, ANTONIO MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:MANUEL
Last Name:PESSEGUEIRO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:757 WESTWOOD PLAZA
Mailing Address - Street 2:SUITE 7501
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095
Mailing Address - Country:US
Mailing Address - Phone:310-267-9643
Mailing Address - Fax:310-267-3840
Practice Address - Street 1:757 WESTWOOD PLAZA
Practice Address - Street 2:SUITE 7501
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-267-9643
Practice Address - Fax:310-267-3840
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA107566207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine