Provider Demographics
NPI:1366180416
Name:ANTALEK, ALLISON YUN HEE SOONG (MSN, MPH, CPNP-PC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:YUN HEE SOONG
Last Name:ANTALEK
Suffix:
Gender:F
Credentials:MSN, MPH, CPNP-PC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:YUN HEE
Other - Last Name:SOONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, MPH, CPNP-PC
Mailing Address - Street 1:2 HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2831
Mailing Address - Country:US
Mailing Address - Phone:626-475-7602
Mailing Address - Fax:
Practice Address - Street 1:730 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1503
Practice Address - Country:US
Practice Address - Phone:650-723-0993
Practice Address - Fax:650-721-6350
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021041363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics